ICD-10 codes for back pain
Since the 2022 ICD-10-CM update, the classic M54.5 "low back pain" is no longer billable in the US — it split into M54.50, M54.51, and M54.59. The WHO international edition still uses M54.5. Know which system your payer or registry expects.
Notat skriver notatet — og foreslår disse koder
Den samme FactsContext™-motor, der extractor koder her, gør hele konsultationen til et struktureret klinisk notat, hvor hver kode er knyttet til den sætning, der understøtter den. Du gennemgår og underskriver hvert notat.
Prøv AI-assisteret ekstraktion med synlig medicinsk kontekst
Paste a note or record audio. Notat’s FactsContext™ engine extracts the raw clinical facts first, then suggests codes from that context so you can inspect the evidence before using anything.
10 af 10 gratis udtrækninger tilbage denne måned.
Sådan bruger du dette værktøj
1
Indsæt eller dikter et af-identificeret klinisk notat — et par sætninger er nok.
2
Tryk på Hent koder. Kodningssystemet er fastlåst på denne side.
3
Gennemgå hver foreslået kode og dens evidens, og kopier derefter de koder, du er enig i.
Klinisk notat
Udtrukne koder
Evidens forbliver vedhæftet til gennemgang.
Indsæt et klinisk notat eller indlæs et eksempel, og tryk derefter på Hent koder. Forslag vises her med tilhørende evidens.
AI-forslag skal gennemgås af en kliniker før brug. Indsæt ikke patientidentificerende oplysninger i dette gratis værktøj.
Notat automatiserer resten af konsultationen
Dette gratis værktøj giver en forhåndsvisning af én Notat-funktion. Notat udarbejder også det kliniske notat og holder dit dokumentationsworkflow i gang — intet kreditkort kræves.
Back pain ICD-10 codes
Start with the primary code, then move to a more specific related code when the documentation supports it.
| Kode | Beskrivelse | System |
|---|---|---|
M54.50 | Low back pain, unspecified | ICD-10-CM |
M54.5 | Low back pain WHO international edition; not billable in ICD-10-CM since 2022 | ICD-10 |
M54.51 | Vertebrogenic low back pain | ICD-10-CM |
M54.59 | Other low back pain | ICD-10-CM |
M54.41 | Lumbago with sciatica, right side | ICD-10-CM |
M54.42 | Lumbago with sciatica, left side | ICD-10-CM |
M54.16 | Radiculopathy, lumbar region | ICD-10-CM |
M51.26 | Other intervertebral disc displacement, lumbar region | ICD-10-CM |
Sådan vælger du den rigtige kode
For US billing, never submit M54.5 — pick M54.50 (unspecified), M54.51 (vertebrogenic, documented endplate/vertebral source), or M54.59 (other). Radiating pain below the knee with positive straight-leg raise supports lumbago with sciatica (M54.41/42, laterality required) or lumbar radiculopathy (M54.16). Documented disc pathology on imaging moves you to M51.-.
Dokumentationseksempel
“Acute low back pain after lifting, 5 days. Pain radiates down the left posterior thigh to the calf. SLR positive on the left at 45°. Power, reflexes, and sensation intact. No red flags. Advised to stay active; NSAIDs; physiotherapy referral.”
Foreslået:
Ikke direkte transskriptionsgætning
FactsContext extracts clinical facts first: diagnoses, symptoms, negatives, findings, test results, medications, and plan decisions.
Rå fakta forbliver brugbare
The clinician can read and reuse the extracted medical context directly, independent of the generated note.
Bygget til gennemgang
AI suggestions are not a substitute for clinician judgment, payer rules, local coding policy, or the official code set.
FAQ
What is the ICD-10 code for back pain?
The ICD-10 code for back pain is M54.50 (Low back pain, unspecified). Related codes include M54.5, M54.51, M54.59. Confirm the most specific code against the documented clinical detail before billing.
Why is M54.5 rejected by US payers?
ICD-10-CM deleted M54.5 as a billable code in October 2021, replacing it with M54.50, M54.51, and M54.59. Claims with M54.5 are denied for lack of specificity.
Sciatica or radiculopathy — which code?
Lumbago with sciatica (M54.41/42) fits pain radiating along the sciatic distribution with back pain. Documented neurological findings attributable to a nerve root support lumbar radiculopathy (M54.16), and confirmed disc displacement is coded from M51.-.
Can AI pick the right back-pain code with laterality?
Notat extracts laterality, radiation, and exam findings as clinical facts and suggests the specific code — M54.42 rather than M54.5 — with the sentence that supports it.
Relaterede ICD-10 guider
Fortsæt gennem condition-hubben, eller åbn den generelle medicinske kodningsguide for flere kodningssystemer og extractors.