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M54.9

Billable

Dorsalgia, unspecified

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

What This Code Means

Back pain of unspecified location and cause, including pain in the spine, muscles, or surrounding tissues of the back.

Coding Tips

  • •Use this code only when the specific location of back pain cannot be determined or is not documented
  • •Consider requesting clarification from the provider if the back pain location is mentioned elsewhere in the medical record

Code Hierarchy

└M54Dorsalgia└M54.9Dorsalgia, unspecified
└M54.9Dorsalgia, unspecified

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