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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.
This August, CMS published its latest round of ICD-10 changes—including the deletion of ICD-10 code M54.5, low back pain, effective October 1, 2021. That means providers cannot use M54.5 to specify a diagnosis on or after October 1—and existing patients with the M54.5 diagnosis will need to be updated to a valid ICD-10 code.
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, 2023 through September 30, 2024.
This is the American ICD-10-CM version of M54.9 - other international versions of ICD-10 M54.9 may differ. A disorder characterized by marked discomfort sensation in the back region. Acute or chronic pain located in the posterior regions of the thorax, lumbosacral region, or the adjacent regions.
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.
Low back pain may be classified by duration as acute (pain lasting less than 6 weeks), sub-chronic (6 to 12 weeks), or chronic (more than 12 weeks). The condition may be further classified by the underlying cause as either mechanical, non-mechanical, or referred pain.
M54.50 is a valid billable ICD-10 diagnosis code for Low back pain, unspecified. It is found in the 2024 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2023 - Sep 30, 2024. ↓ See below for any exclusions, inclusions or special notations. M54.50 also applies to the following:
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.
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).