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You find M54 in the Tabular List in ICD-10-CM and find M54.5 Low back pain. However, this code requires a fifth character. Your choices are as follows: M54.50 Low back pain, unspecified. This diagnosis code includes loin pain and lumbago not otherwise specified (NOS).
Coding alert 1: “From an ICD-10-CM perspective, lower back pain and strain are mutually exclusive diagnoses, as there is an Excludes1 note under M54.5 directing coders to S39.012- for low back strain,” cautions Moore. Scenario 3: Your provider documents that a patient has chronic lower back pain due to surgery or trauma.
Low back pain. Excludes1: low back strain (S39.012) lumbago due to intervertebral disc displacement (M51.2 -) lumbago with sciatica (M54.4 -) M54. Excludes1: psychogenic dorsalgia (F45.41) M54.5 Low back pain. M54.50. Low back pain, unspecified.
Per ICD-10-CM Official Guidelines (section I.C.6), you “may use codes from category G89 with codes that identify the site of pain (including codes from chapter 18) if the category G89 code provides additional information. For example, if the code describes the site of the pain, but does not fully describe whether the pain is acute or chronic ...
ICD-10-CM Codes. Diseases of the nervous system. Other disorders of the nervous system. Pain, not elsewhere classified (G89) Chronic pain syndrome (G89.4) G89.3. G89.4.
M54.51 (Vertebrogenic low back pain) M54.59 (Other low back pain) Code M54.50 includes loin pain and low back pain (lumbago) not otherwise specified (NOS), M54.51 includes low back vertebral endplate pain, and you should use M54.59 for specified low back pain that’s not in the vertebrae. It’s very possible, especially at a first encounter ...
Best answers. 0. Jul 23, 2021. #2. I would stick with M54.5 to describe low back pain because it is specific to that diagnosis of low back pain. I only use G89.4 or G89.29 when my doc notates that the pt is in chronic/acute pain. There is also an Excludes 2 (not included here) note under G89 that involves any M54.- code.
pain disorders exclusively related to psychological factors pain NOS . Excludes2: atypical face pain headache syndromes (G44.-) localized pain, unspecified type - code to pain by site, such as: abdomen pain (R10.-) back pain breast pain chest pain (R07.1-R07.9) ear pain (H92.0-) eye pain headache
Since October 1 — when ICD-10 2022 took effect — you have three new codes to report the pain: M54.50 (Low back pain, unspecified), M54.51 (Vertebrogenic low back pain), and M54.59 (Other low back pain). However, none of these codes indicate whether the pain is acute or chronic. If your provider does notate the severity of the lower back ...
Official Long Descriptor. Vertebrogenic low back pain. Low back vertebral endplate pain. M54.5. Excludes1: low back strain (S39.012) lumbago due to intervertebral disc displacement (M51.2 -) lumbago with sciatica (M54.4 -) M54. Excludes1: psychogenic dorsalgia (F45.41)