1. ICD-10-CM Codes
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2. M00-M99
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3. M50-M54
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4. M54-
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5. 2023 ICD-10-CM Diagnosis Code M54

2023 ICD-10-CM Diagnosis Code M54

Dorsalgia

2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code

• M54 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
• The 2023 edition of ICD-10-CM M54 became effective on October 1, 2022.
• This is the American ICD-10-CM version of M54 - other international versions of ICD-10 M54 may differ.

• A disorder characterized by marked discomfort sensation in the back region.
• Acute or chronic pain located in the posterior regions of the thorax, lumbosacral region, or the adjacent regions.
• Acute or chronic pain located in the posterior regions of the thorax; lumbosacral region; or the adjacent regions.
• If you've ever groaned, "oh, my aching back!", you are not alone. Back pain is one of the most common medical problems, affecting 8 out of 10 people at some point during their lives. Back pain can range from a dull, constant ache to a sudden, sharp pain. Acute back pain comes on suddenly and usually lasts from a few days to a few weeks. Back pain is called chronic if it lasts for more than three months.most back pain goes away on its own, though it may take awhile. Taking over-the-counter pain relievers and resting can help. However, staying in bed for more than 1 or 2 days can make it worse. If your back pain is severe or doesn't improve after three days, you should call your health care provider. You should also get medical attention if you have back pain following an injury.treatment for back pain depends on what kind of pain you have, and what is causing it. It may include hot or cold packs, exercise, medicines, injections, complementary and alternative treatments, and sometimes surgery. nih: national institute of arthritis and musculoskeletal and skin diseases
• Painful sensation in the back region.
• Sensation of unpleasant feeling indicating potential or actual damage to some body structure felt in the back.

• 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
• 2021 (effective 10/1/2020): No change
• 2022 (effective 10/1/2021): No change
• 2023 (effective 10/1/2022): No change

• Type 1 Excludes: R52
  , G55
  ICD-10-CM Diagnosis Code R52

  Pain, unspecified

  2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

  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 (R51.9)
  • 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)
  ICD-10-CM Diagnosis Code G55

  Nerve root and plexus compressions in diseases classified elsewhere

  2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Manifestation Code

  Code First

  • underlying disease, such as:
  • neoplasm (C00-D49)

  Type 1 Excludes

  • nerve root compression (due to) (in) ankylosing spondylitis (M45.-)
  • nerve root compression (due to) (in) dorsopathies (M53.-, M54.-)
  • nerve root compression (due to) (in) intervertebral disc disorders (M50.1.-, M51.1.-)
  • nerve root compression (due to) (in) spondylopathies (M46.-, M48.-)
  • nerve root compression (due to) (in) spondylosis (M47.0-, M47.2.-)
• Type 2 Excludes: G89
  , R10
  ICD-10-CM Diagnosis Code G89

  Pain, not elsewhere classified

  2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code

  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

  • atypical face pain (G50.1)
  • headache syndromes (G44.-)
  • 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 (R51.9)
  • joint pain (M25.5-)
  • limb pain (M79.6-)
  • lumbar region pain (M54.5-)
  • painful urination (R30.9)
  • 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)
  • migraines (G43.-)
  • myalgia (M79.1-)
  • pain from prosthetic devices, implants, and grafts (T82.84, T83.84, T84.84, T85.84-)
  • phantom limb syndrome with pain (G54.6)
  • vulvar vestibulitis (N94.810)
  • vulvodynia (N94.81-)
  ICD-10-CM Diagnosis Code R10

  Abdominal and pelvic pain

  2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code

  Type 1 Excludes

  • renal colic (N23)

  Type 2 Excludes

  • dorsalgia (M54.-)
  • flatulence and related conditions (R14.-)

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.