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M54.51

Billable

Vertebrogenic low back pain

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

What This Code Means

Lower back pain that originates from problems with the vertebrae or spinal structures themselves.

Coding Tips

  • •Use when documentation indicates the pain is spine-related rather than muscular or nerve-related
  • •Often associated with degenerative disc disease or vertebral dysfunction

Code Hierarchy

└M54Dorsalgia└M54.5Low back pain└M54.51Vertebrogenic low back pain
└M54.51Vertebrogenic low back pain

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