M54.59, other low back pain is used for lower back pain that can be attributed to a specific reason but there is not an applicable…
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Are you keeping up with the 2022 additions and deletions to ICD10 codes effective October 1, 2021?
The 2022 ICD10 code for low back pain M54.5 has been deleted with the addition of 3 codes to replace it.
Today we will focus on the new low back pain ICD10 code, M54.59 Other low back pain.
M54.59, other low back pain is used for lower back pain that can be attributed to a specific reason but there is not an applicable code available that describes or defines it.
(You can name it but it is does not have its own specific code (i.e. facet syndrome.)
Ultimately, best practice for a chiropractic provider when coding low back pain is to use M54.50 or M54.59.
However, it is not a best practice to code the reason for pain and only use pain if the reason is not known. Focus more on the reason vs the symptom and do not code low back spine pain with lumbar disc or lumbar strain.
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.