ICD Code M54.89

ICD code M54.89 is used to indicate other types of back pain or disorders of the back that are not specified elsewhere.

1. Patient presents with back pain not specified as cervical, thoracic, or lumbar.

2. Pain is not attributable to a more specific diagnosis such as radiculopathy, sciatica, or spondylosis.

3. Symptoms may include generalized discomfort, stiffness, or aching in the back region.

4. Clinical evaluation rules out trauma, infection, neoplasm, or inflammatory conditions as the primary cause.

5. Imaging and diagnostic tests do not reveal a more specific underlying pathology.

6. Pain may be chronic or acute, with or without associated muscle spasms.

7. Other specific dorsalgia codes (e.g., for cervical, thoracic, or lumbar regions) are not appropriate based on clinical findings.

Relevant CPT codes that may be used to treat ICD code M54.89 include:

- 99202–99215 (Evaluation and Management services)

- 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)

- 97110 (Therapeutic exercises)

- 97112 (Neuromuscular reeducation)

- 97140 (Manual therapy techniques)

- 97010 (Application of a modality to 1 or more areas; hot or cold packs)

- 97035 (Ultrasound therapy)

- 72020 (Radiologic examination, spine, single view, specify level)

- 72100 (Radiologic examination, spine, lumbosacral, two or three views)

- 72110 (Radiologic examination, spine, lumbosacral, minimum of four views)

- 99281–99285 (Emergency department services, if applicable)

CPT code selection should be based on the specific services rendered and clinical documentation.

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