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May 30, 2024 · 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.
Dec 3, 2020 · Would you use M54.5 (Low back pain) or M54.9 (Dorsalgia, unspecified), which lists back pain not otherwise specified as a synonym? Solution: “Dorsalgia is upper back pain, so M54.9 should not be selected,” cautions Johnson.
Mar 1, 2023 · A quick look in the Alphabetic Index of ICD-10-CM points you to M54.9 Dorsalgia, unspecified, which includes backache and back pain. Close enough, right? This could work, but let’s see if we can avoid an unspecified code.
Aug 25, 2023 · ICD-10 emphasizes the importance of excluding specific causes of low back pain that may have different diagnostic codes. It ensures that CLBP is identified and distinguished from other conditions. Healthcare providers should conduct a thorough evaluation to rule out specific causes.
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.
ICD-10 codes for back pain typically fall under the M-series codes, which refer to diseases and disorders of the musculoskeletal system and connective tissue.
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R14.1 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 R14.1 became effective on October 1, 2024. This is the American ICD-10-CM version of R14.1 - other international versions of ICD-10 R14.1 may differ.