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Home/Diagnosis/ICD-10 Coding for Pain in Thoracic Spine

ICD-10 Coding for Pain in Thoracic Spine

M54.6

Complete ICD-10-CM coding and documentation guide for icd-10 coding for pain in thoracic spine includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Thoracic Back Pain
Mid-Back Pain
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Key Information: ICD-10 Coding for Pain in Thoracic Spine

Essential facts and insights about ICD-10 Coding for Pain in Thoracic Spine

Use ICD-10 code M54.6 for pain in thoracic spine, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Pain in thoracic spine

Billable Code
M54.6
Billable

Diagnostic Criteria

clinical:
  • • Pain localized to T1-T12 without red flags
coding:
  • • No evidence of fracture or stenosis

Applicable To

  • • Localized pain T1-T12

Important Notes

  • • Ensure documentation excludes other causes and confirms localization.
Ancillary Codes

Additional codes that may be used with this diagnosis

G89.21

Chronic pain syndrome

Use when chronic pain management is the focus.

Frequently Asked Questions

What is the ICD-10 code for pain in thoracic spine?

The ICD-10 code for pain in the thoracic spine is M54.6, used for isolated thoracic pain without underlying conditions.

When should G89.21 be used instead of M54.6?

Use G89.21 when chronic pain management is the focus, especially if the pain persists beyond three months.

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