ICD CODES

ICD Code M54-

ICD code M54- is used to classify and identify various types of back pain and related spinal conditions in healthcare documentation.

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What is ICD diagnosis code M54-

ICD code M54- is used to identify dorsalgia, which refers to pain in the back.

When to use ICD code M54-

1. Presence of back pain localized to the spinal region

2. Pain may be acute or chronic in nature

3. Symptoms may include stiffness, reduced range of motion, or tenderness in the back

4. Absence of specific underlying conditions such as trauma, infection, neoplasm, or inflammatory disease

5. No evidence of radiculopathy or neurological deficits

6. Pain not attributable to intervertebral disc disorders or spondylopathies

7. Clinical evaluation and imaging, if performed, do not reveal a more specific etiology

8. Symptoms may be aggravated by movement, posture, or physical activity

9. Exclusion of systemic symptoms such as fever, unexplained weight loss, or night sweats

Billable CPT codes for ICD code M54-

Relevant CPT codes that may be used to treat ICD code M54- include:

- 99202–99215 (Evaluation and Management services)

- 97110 (Therapeutic exercises)

- 97112 (Neuromuscular reeducation)

- 97140 (Manual therapy techniques)

- 97010 (Application of a modality to one or more areas; hot or cold packs)

- 97035 (Ultrasound therapy)

- 20552 (Injection(s); single or multiple trigger point(s), one or two muscle(s))

- 20553 (Injection(s); single or multiple trigger point(s), three or more muscles)

- 20610 (Arthrocentesis, aspiration and/or injection; major joint or bursa)

- 62321 (Injection(s), of diagnostic or therapeutic substance(s); lumbar or sacral)

- 64483 (Injection, anesthetic agent and/or steroid, transforaminal epidural; lumbar or sacral, single level)

- 97032 (Electrical stimulation, manual)

These CPT codes are commonly associated with the treatment of conditions classified under ICD code M54-.

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