Kode Icd Low Back Pain

Guide For Icd 10 S And Ambulance Services

2020 ICD-10-CM Diagnosis Code M54.5

2016

2017

2018

2019

2020

Billable/Specific Code

M54.5 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
The 2020 edition of ICD-10-CM M54.5 became effective on October 1, 2019.
This is the American ICD-10-CM version of M54.5 - other international versions of ICD-10 M54.5 may differ.

Applicable To

Type 1 Excludes

Type 1 Excludes Help

A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as M54.5. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

low back strain (
ICD-10-CM Diagnosis Code S39.012
Strain of muscle, fascia and tendon of lower back
S39.012)
lumbago due to intervertebral disc displacement (
ICD-10-CM Diagnosis Code M51.2
Applicable To
- Lumbago due to displacement of intervertebral disc
M51.2-)
lumbago with sciatica (
ICD-10-CM Diagnosis Code M54.4
Type 1 Excludes
- lumbago with sciatica due to intervertebral disc disorder (M51.1-)
M54.4-)

The following code(s) above M54.5 contain annotation back-references

Annotation Back-References

In this context, annotation back-references refer to codes that contain:

Applicable To annotations, or
Code Also annotations, or
Code First annotations, or
Excludes1 annotations, or
Excludes2 annotations, or
Includes annotations, or
Note annotations, or
Use Additional annotations

that may be applicable to M54.5:

M00-M99
2020 ICD-10-CM Range M00-M99
Diseases of the musculoskeletal system and connective tissue
Note
- Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
Type 2 Excludes
- arthropathic psoriasis (L40.5-)
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- compartment syndrome (traumatic) (T79.A-)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Diseases of the musculoskeletal system and connective tissue
M50-M54
2020 ICD-10-CM Range M50-M54
Other dorsopathies
Type 1 Excludes
- current injury - see injury of spine by body region
- discitis NOS (M46.4-)
Other dorsopathies
M54
ICD-10-CM Diagnosis Code M54
Type 1 Excludes
- psychogenic dorsalgia (F45.41)
Dorsalgia

Approximate Synonyms

Acute low back pain
Acute low back pain for less than 3 months
Acute low back pain less than 3 months
Chronic low back pain
Chronic low back pain for greater than 3 months
Chronic low back pain greater than 3 months
Chronic low back pain greater than 3 months duration
Low back pain for less than 3 months
Low back pain for less than 6 months
Low back pain in pregnancy
Low back pain less than 3 months
Low back pain less than 6 months
Low back pain without radiculopathy
Lumbar back pain acute,
Mechanical low back pain
Pain of lumbar, acute, for less then 3 months

Clinical Information

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.

ICD-10-CM M54.5 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):

551 Medical back problems with mcc
552 Medical back problems without mcc

Convert M54.5 to ICD-9-CM

Code History

2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
2017 (effective 10/1/2016): No change
2018 (effective 10/1/2017): No change
2019 (effective 10/1/2018): No change
2020 (effective 10/1/2019): No change

Code annotations containing back-references to M54.5:

Type 1 Excludes: M54.8, R52
ICD-10-CM Diagnosis Code M54.8
Type 1 Excludes
- dorsalgia in thoracic region (M54.6)
- low back pain (M54.5)
ICD-10-CM Diagnosis Code R52
Applicable To
- Acute pain NOS
- Generalized pain NOS
- Pain NOS
Type 1 Excludes
- acute and chronic pain, not elsewhere classified (G89.-)
- localized pain, unspecified type - code to pain by site, such as:
- abdomen pain (R10.-)
- back pain (M54.9)
- breast pain (N64.4)
- chest pain (R07.1-R07.9)
- ear pain (H92.0-)
- eye pain (H57.1)
- headache (R51)
- joint pain (M25.5-)
- limb pain (M79.6-)
- lumbar region pain (M54.5)
- pelvic and perineal pain (R10.2)
- shoulder pain (M25.51-)
- spine pain (M54.-)
- throat pain (R07.0)
- tongue pain (K14.6)
- tooth pain (K08.8)
- renal colic (N23)
- pain disorders exclusively related to psychological factors (F45.41)
Type 2 Excludes: G89
ICD-10-CM Diagnosis Code G89
Code Also
- related psychological factors associated with pain (F45.42)
Type 1 Excludes
- generalized pain NOS (R52)
- pain disorders exclusively related to psychological factors (F45.41)
- pain NOS (R52)
Type 2 Excludes

Diagnosis Index entries containing back-references to M54.5:

Low
Lumbago, lumbalgia M54.5
Pain(s) R52 - see also Painful
ICD-10-CM Diagnosis Code R52
Applicable To
- Acute pain NOS
- Generalized pain NOS
- Pain NOS
Type 1 Excludes
- acute and chronic pain, not elsewhere classified (G89.-)
- localized pain, unspecified type - code to pain by site, such as:
- abdomen pain (R10.-)
- back pain (M54.9)
- breast pain (N64.4)
- chest pain (R07.1-R07.9)
- ear pain (H92.0-)
- eye pain (H57.1)
- headache (R51)
- joint pain (M25.5-)
- limb pain (M79.6-)
- lumbar region pain (M54.5)
- pelvic and perineal pain (R10.2)
- shoulder pain (M25.51-)
- spine pain (M54.-)
- throat pain (R07.0)
- tongue pain (K14.6)
- tooth pain (K08.8)
- renal colic (N23)
- pain disorders exclusively related to psychological factors (F45.41)
- spine M54.9
  ICD-10-CM Diagnosis Code M54.9
  2016 2017 2018 2019 2020 Billable/Specific Code
  Applicable To
  Backache NOS
  Back pain NOS
- loin M54.5
- low back M54.5
- lumbar region M54.5
Syndrome - see also Disease