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ICD-10-CM Codes
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M00-M99
Diseases of the musculoskeletal system and connective tissue
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M50-M54
Other dorsopathies
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M54-
Dorsalgia
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2019 ICD-10-CM Diagnosis Code M54.6
Pain in thoracic spine
2016 2017 2018 2019 Billable/Specific Code
- M54.6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
- The 2019 edition of ICD-10-CM M54.6 became effective on October 1, 2018.
- This is the American ICD-10-CM version of M54.6 - other international versions of ICD-10 M54.6 may differ.
Type 1 ExcludesType 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 M54.6. 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.
The following code(s) above
M54.6 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
M54.6:
- M00-M99
2019 ICD-10-CM Range M00-M99
Diseases of the musculoskeletal system and connective tissueNote- 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)
- M50-M54
2019 ICD-10-CM Range M50-M54
Other dorsopathiesType 1 Excludes- current injury - see injury of spine by body region
- discitis NOS (M46.4-)
- M54
ICD-10-CM Diagnosis Code M54
Dorsalgia
2016 2017 2018 2019 Non-Billable/Non-Specific Code
Type 1 Excludes- psychogenic dorsalgia (F45.41)
- Chronic pain in thorax
- Chronic thoracic back pain
- Chronic thoracic pain
- Myofacial pain syndrome with lumbar involvement
- Myofascial pain syndrome, lumbar
- Thoracic facet joint pain
- Thoracic facet syndrome
- Thoracic spine pain
ICD-10-CM M54.6 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):
- 551 Medical back problems with mcc
- 552 Medical back problems without mcc
Convert M54.6 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
Code annotations containing back-references to M54.6:
- Pain(s) R52 - see also Painful
ICD-10-CM Diagnosis Code R52
Pain, unspecified
2016 2017 2018 2019 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)
- 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
Dorsalgia, unspecified
2016 2017 2018 2019 Billable/Specific Code
Applicable To- Backache NOS
- Back pain NOS
- thoracic spine M54.6
ICD-10-CM Codes Adjacent To M54.6
M54.4 Lumbago with sciatica
M54.6
Pain in thoracic spine
M54.9 Dorsalgia, unspecified
M60.00 Infective myositis, unspecified site
M60.000 Infective myositis, unspecified right arm
M60.001 Infective myositis, unspecified left arm
M60.002 Infective myositis, unspecified arm
Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.
