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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. 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.
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.
Oct 1, 2021 · Low back pain, unspecified. 2022 - New Code 2023 2024 2025 Billable/Specific Code. M54.50 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 M54.50 became effective on October 1, 2024.
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.
Nov 7, 2022 · 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. Distinguish Pain As Vertebrogenic or Discogenic
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, 2024 through September 30, 2025. Unspecified diagnosis codes like M54.50 are acceptable when clinical information is unknown or ...
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May 30, 2024 · This diagnosis ICD 10 code is used for cases where a confirmed disc displacement in the lumbosacral region causes lower back pain. This may also be referred to as lumbago due to intervertebral disc displacement, creating intense pain low in the back for patients. M51.37 (Other intervertebral disc degeneration, lumbosacral region).
