AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2021 Issue 4; ICD-10-CM New/Revised Codes

Vertebrogenic Pain

Code M54.5, Low back pain, was expanded to allow the specific classification of vertebrogenic low back pain. The new codes identify low back pain, unspecified (M54.50), vertebrogenic low back pain (M54.51), and other low back pain (M54.59). The cause of chronic low back pain is difficult to diagnose. Although the intervertebral discs are typically the cause, the vertebral endplates are often overlooked as a potential source of chronic low back pain. Research involving Modic/endplate changes, which may be seen on magnetic resonance imaging (MRI), show a relationship between Modic type endplate changes (lumbar...

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