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ICD-10 code M54.5 is getting the kibosh. Every year, CMS publishes updates to the ICD-10 manual, deleting unnecessary codes, adding new ones, and revising language as-needed. 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.
M54.5 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. The 2025 edition of ICD-10-CM M54.5 became effective on October 1, 2024. This is the American ICD-10-CM version of M54.5 - other international versions of ICD-10 M54.5 may differ.
Nov 7, 2022 · Check in on coding this tricky condition. Coding low back pain can be a challenge because you need a lot of information to select the most appropriate diagnosis code. On top of that, there are three new codes from the M54.5- (Low back pain) family in ICD-10 2022. Consider this guidance and boost your coding specificity.
May 20, 2022 · The new codes added to ICD-10 include: M54.50 Low back pain, unspecified. M54.51 Vertebrogenic low back pain. M54.59 Other low back pain. Full details of the current ICD-10 diagnoses codes can be downloaded on the Centers for Medicare & Medicaid Services website using the “2022 Code Tables, Tabular and Index” link toward the bottom of the page.
Sep 29, 2021 · News. Date: Wednesday, September 29, 2021. One of the most commonly billed codes in the rehab industry is about to disappear: Beginning Oct. 1, the International Classification of Diseases code for low back pain — M54.5 — will no longer exist in the ICD-10 listings. The more general code is being replaced by a series of codes related to LBP ...
May 30, 2024 · Intervertebral disc disorder is a condition that often requires specific ICD-10 codes. M54.5 (Low back pain, unspecified): Code M54.5 is used for a nonspecific diagnosis of low back pain, without assigning a cause. Code M54.5 is one of the most commonly used codes in clinical settings, especially physical therapy, where detailed diagnoses have ...
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The Sunset of ICD-10 Code M54.5. Every year, the Centers for Medicare & Medicaid Services (CMS) releases updates to the ICD-10 manual. These updates include adding new codes, deleting outdated ones, and revising existing ones. In a recent update, CMS announced the discontinuation of the ICD-10 code M54.5, which pertains to low back pain.
