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That means low back pain is a separate diagnosis from G89.-, and G89.- should not be used for low back pain per se. However, if the patient has both low back pain and pain not elsewhere classified, or if a category G89.- code provides additional information, then codes M54.5- and G89.- may both be used,” says Moore.
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.
Let Your Fingers do the Walking. 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).
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
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 ...
M54.5 Low back pain. M54.50. Low back pain, unspecified. M54.51. Vertebrogenic low back pain. M54.59. Other low back pain. 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. This section shows you chapter-specific coding ...
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
low back strain (S39.012) lumbago due to intervertebral disc displacement (M51.2 -) lumbago with sciatica (M54.4 -) M54. Excludes1: psychogenic dorsalgia (F45.41) Get crucial instructions for accurate ICD-10-CM M54.50 coding with all applicable Excludes 1 and Excludes 2 notes from the section level conveniently shown with each code.
The lower back pain radiated to the lower extremities and was associated with numbness. The final diagnostic statement lists chronic pain syndrome and chronic lower back pain with acute exacerbation of lower back pain and lower extremity pain. What is the appropriate way to code and sequence these diagnoses? a.724.2, 729.5, 338.4, 338.19
For G89.2- Chronic pain, not elsewhere classified, the ICD-10-CM tabular list provides separate codes for pain due to trauma, post-thoracotomy pain, other postprocedural pain, and other pain. But what you won’t find is a definition for chronic. The OGs tell you that “There is no time frame defining when pain becomes chronic pain.