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Home/Diagnosis/ICD-10 Coding for Thoracic Pain

ICD-10 Coding for Thoracic Pain

M54.6
R07.1
G89.21

Complete ICD-10-CM coding and documentation guide for icd-10 coding for thoracic 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 Pain

Essential facts and insights about ICD-10 Coding for Thoracic 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

  • • Pain localized to thoracic spine with movement exacerbation

Applicable To

  • • Thoracic back pain
  • • Mid-back pain

Important Notes

  • • Ensure documentation specifies thoracic spine involvement.

Chest pain, unspecified

Billable Code
R07.1
Billable

Applicable To

  • • Chest wall pain

Important Notes

  • • Ensure cardiac causes are ruled out.

Chronic pain due to trauma

Billable Code
G89.21
Billable

Applicable To

  • • Chronic post-traumatic pain

Important Notes

  • • Ensure trauma history is documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

G89.21

Chronic pain due to trauma

Use when chronic pain is due to a traumatic event.

M54.6

Pain in thoracic spine

Use alongside G89.21 to specify location of chronic pain.

Frequently Asked Questions

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

The ICD-10 code for thoracic spine pain is M54.6, used when pain is localized to the thoracic vertebrae.

How do you code chronic thoracic pain?

For chronic thoracic pain, use M54.6 for the location and G89.21 if due to trauma, ensuring documentation supports chronicity.

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