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M54.50

Billable

Low back pain, unspecified

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

General lower back pain without a specified underlying cause or location.

Coding Tips

  • This is a default code when the specific type or cause of low back pain is not documented
  • Review clinical notes to determine if a more specific code (M54.51, M54.59) applies

Code Hierarchy

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