ICD-10-CM Code M54.9

Dorsalgia, unspecified

Version 2020 Billable Code Family Practice Internal Medicine Orthopedics

Valid for Submission

M54.9 is a billable code used to specify a medical diagnosis of dorsalgia, unspecified. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code M54.9 might also be used to specify conditions or terms like back pain complicating pregnancy, back pain worse on sneezing, backache, backache with radiation, chronic sacral pain for greater than three months, complaining of backache, etc

The code is commonly used in family practice, internal medicine, orthopedics medical specialties to specify clinical concepts such as back and neck pain.

ICD-10:M54.9
Short Description:Dorsalgia, unspecified
Long Description:Dorsalgia, unspecified

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code M54.9:

Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Backache NOS
  • Back pain NOS

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code M54.9 are found in the index:


Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Back pain complicating pregnancy
  • Back pain worse on sneezing
  • Backache
  • Backache with radiation
  • Chronic sacral pain for greater than three months
  • Complaining of backache
  • Discogenic pain
  • Disorder characterized by back pain
  • Exacerbation of backache
  • Pain in spine
  • Sacral back pain
  • Vertebral joint pain

Diagnostic Related Groups

The ICD-10 code M54.9 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2019 through 09/30/2020.

  • 551 - MEDICAL BACK PROBLEMS WITH MCC
  • 552 - MEDICAL BACK PROBLEMS WITHOUT MCC

Convert M54.9 to ICD-9

  • 724.5 - Backache NOS (Approximate Flag)

Code Classification

  • Diseases of the musculoskeletal system and connective tissue (M00–M99)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Back Pain

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 treatments, and sometimes surgery.

NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases


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