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M54.59

Billable

Other 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 due to causes other than vertebral problems, such as muscle strain or other unspecified sources.

Coding Tips

  • •Use for low back pain that doesn't fit the vertebrogenic category
  • •Document the specific cause if identifiable to support medical necessity

Code Hierarchy

└M54Dorsalgia└M54.5Low back pain└M54.59Other low back pain
└M54.59Other low back pain

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