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Home/Diagnosis/ICD-10 Coding for Thoracic Back Pain

ICD-10 Coding for Thoracic Back Pain

M54.6

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

Also Known as:
Mid-back pain
Upper back pain
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Key Information: ICD-10 Coding for Thoracic Back Pain

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

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 thoracic region without specific etiology
coding:
  • No imaging evidence of disc pathology
documentation:
  • Detailed pain assessment and negative red flags

Applicable To

  • • Thoracic back pain

Important Notes

  • • Ensure documentation includes pain localization and absence of red flags.
Ancillary Codes

Additional codes that may be used with this diagnosis

G89.21

Acute pain due to trauma

Use when pain management is the primary focus

Frequently Asked Questions

What is the ICD-10 code for thoracic back pain?

The ICD-10 code for thoracic back pain is M54.6, used for pain localized to the thoracic spine without a specific underlying condition.

When should G89.21 be used with thoracic back pain?

Use G89.21 when the primary focus of treatment is pain management, especially in acute pain scenarios.

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