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M54.5 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. ICD-10-CM M54.5 is a new 2022 ICD-10-CM code that became effective on October 1, 2021. This is the American ICD-10-CM version of M54.5 – other international versions of ICD-10 M54.5 may differ.
FAQ low back pain icd 10 code
Should providers get specific ICD-10 codes for low back pain?
Providers will need to get specific, using more detailed (and sometimes new) ICD-10 codes to describe low back pain. So, here’s the real question: How the heck can CMS justify deleting such a commonly used code?
What are the ICD-10-CM codes for pain?
abdomen pain ( R10.-) spine pain ( M54.-) migraines ( G43.-) Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.
What does low back pain mean?
LOW BACK PAIN-. acute or chronic pain in the lumbar or sacral regions which may be associated with musculo ligamentous sprains and strains; intervertebral disk displacement; and other conditions. If you’ve ever groaned, "Oh, my aching back!", you are not alone.
What is the CPT code for back and neck pain?
The code is commonly used in family practice, internal medicine , orthopedics medical specialties to specify clinical concepts such as back and neck pain. Non-specific codes like M54.5 require more digits to indicate the appropriate level of specificity.
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| Low Back Pain (Symptom)Pain or ache in the lower region of the back, varying in intensity. |