Vetebrogenic back pain is specifying the origin of the pain from the vertebrae or spine. However, this code is to distinguish specific…
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Are you confused as to which of the 3 new ICD10 low back pain codes to use?
You are not alone!
Today we will focus on the new code M54.51 Vertebrogenic low back pain.
Vetebrogenic back pain is specifying the origin of the pain from the vertebrae or spine. However, this code is to distinguish specific “lower back vertebral endplate pain” and would not be used for simple “spine-related”.
This would be a covered diagnosis but one with specificity of a particular condition.
Spine related conditions such as sprain, strain, radiculopathy, disc, etc. would not be appropriate for this code as they have a more specified code. Veterbrogenic means coming from the bone itself.
Remember, for any dates of service on or after 10-1-2021 the new codes must be used and HJ Ross Network has a list of the complete code updates.
H.J. Ross Company understands billing with incorrect chiropractic CPT codes can lead to claim rejections and delays in payments, which can have a devastating impact on generating revenue and keeping you in business.
If you are experiencing insurance claim denial, staff spending too much time trying to get claims paid, and patients asking why their claims have not been paid then H. J. Ross Company is your solution.
H.J. Ross Company stays ahead of the curve on the latest trends and changes in billing and coding by utilizing their direct channel of communication with the insurance companies and organizations that set the guidelines.
There is a reason chiropractors have trusted H. J. Ross Company with their business for over 40 years.