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ICD 10 code for Low back pain. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code M54.5.
ICD 10 code for Low back pain, unspecified. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code M54.50.
Cervical, thoracic, and/or lumbar spine syndrome and neck, thoracic spine, and lower back pain are all coded under M54 Dorsalgia. You’ll need more information to code to the level of specificity that ICD-10-CM requires for this category.
M54.50 is a billable diagnosis code used to specify a medical diagnosis of low back pain, unspecified. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2024 through September 30, 2025.
Get crucial instructions for accurate ICD-10-CM M54.5 coding with all applicable Excludes 1 and Excludes 2 notes from the section level conveniently shown with each code.
M54.5 is a billable ICD code used to specify a diagnosis of low back pain. A 'billable code' is detailed enough to be used to specify a medical diagnosis. Low back pain (LBP), also known as lower back pain or lumbago, (/lʌmˈbeɪɡoʊ/) is a common disorder involving the muscles and bones of the back.
Understanding and applying the right ICD-10 codes—such as code M54.5, which is used for general low back pain—not only streamline billing processes but also enhances the precision of treatment plans and patient outcomes by ensuring an accurate diagnosis.
M54.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2025 edition of ICD-10-CM M54.9 became effective on October 1, 2024. This is the American ICD-10-CM version of M54.9 - other international versions of ICD-10 M54.9 may differ.
Effective October 1, 2021, the International Classification of Diseases (ICD) code for low back pain, M54.5 was replaced with three codes to add specificity to diagnosis. The new codes added to ICD-10 include: M54.50 Low back pain, unspecified. M54.51 Vertebrogenic low back pain. M54.59 Other low back pain.
ICD-10 codes allow providers to specify the general region and nature of low back pain, which can help guide appropriate treatment. Additionally, the codes help specify generalized versus localized pain by specifying the nature and region of pain.