M54.59 – Other low back pain

ICD-10-CM code M54.59 indicates Other low back pain. Explore its clinical details, billing status, and related codes in this guide.

By Emma Hainsworth on Jun 16, 2024.

Fact Checked by Ericka Pingol.

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M54.59 Diagnosis Code: Other low back pain Is the M54.59 billable?M54.59 clinical information M54.59 synonyms include Other ICD-10 codes commonly used for lower back pain FAQS

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M54.59 Diagnosis Code: Other low back pain

The M54.59 is an ICD code included in the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM, for short), and it is used to designate “Other lower back pain.”

This particular ICD-10 code is used to diagnose a patient with lower back pain that other ICD-10 codes don’t specify. There are many other specific codes that can be used, such as M54.16 (Radiculopathy, lumbar region) and M54.51 (Vertebrogenic low back pain), so if a patient has a certain lower back problem and there’s a more specific code for the problem, it’s best to use that. If there is no ICD-10 code for the problem causing lower back pain, then the M54.59 code should be used.

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Is the M54.59 billable?

Yes, the M54.59 ICD-10 code is billable and can be used to designate a patient for reimbursement purposes.

M54.59 clinical information

Back pain is considered one of the most common medical problems, especially in older patients. Most people experience back pain in varying degrees. Some people may experience a mild kind of back pain, meaning it’s dull but can be managed. Some people may experience a sharp kind of pain or a tingly pain that radiates to other parts of the back and certain extremities.

The pain can either be acute or chronic. The former means that the pain suddenly popped out of nowhere but will only last for a few days or weeks. If this pain doesn’t disappear in three months, it will be referred to as chronic.

Mild back pains should be gone in a day or two. If a patient has back pain and it’s been there for over three days, they should have it checked so healthcare professionals can determine what’s wrong. The treatment will depend on the findings and the diagnosis.

Normally, back pain can be treated by simply resting and avoiding strenuous activities. Hot or cold compress, exercise, and medicine can help. For moderate to severe cases, steroid injections, physical therapy, and even surgery might be recommended.

M54.59 synonyms include

Myofascial low back pain
Myofascial pain
Myofascial pain syndrome
Myofascial pain syndrome of lower back

Other ICD-10 codes commonly used for lower back pain:

M54.06 - Panniculitis affecting regions of neck and back, lumbar region
M54.07 - Panniculitis affecting regions of neck and back, lumbosacral region
M54.08 - Panniculitis affecting regions of neck and back, sacral and sacrococcygeal region
M54.16 - Radiculopathy, lumbar region
M54.17 - Radiculopathy, lumbosacral region
M54.18 - Radiculopathy, sacral and sacrococcygeal region
M54.40 - Lumbago with sciatica, unspecified side
M54.41 - Lumbago with sciatica, right side
M54.42 - Lumbago with sciatica, left side
M54.50 - Low back pain, unspecified
M54.51 - Vertebrogenic low back pain
M54.6 - Pain in thoracic spine

Commonly asked questions

Is the M54.59 a billable ICD-10 code?

Yes, this ICD-10 code is billable.

When do you use the M54.59 ICD-10 code?

You use it when you have confirmed that a patient has lower back pain, and it is because of a type of condition that other ICD-10 codes for lower back pain don’t specify.

How is M54.59 commonly treated?

That will depend on the specific condition the patient is dealing with, but common treatments for back pain include hot/cold compress, medication, rest, and exercise for mild cases. For moderate cases, physical therapy and maybe even steroid injections will be used. For severe cases, surgery might be the best bet.