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M54.50
Low back pain, unspecified
ICD10CM code
Medical Policies and Guidelines for Low back pain, unspecified
Related policies from health plans
CIGNA
Acupuncture - (CPG024)
CIGNA
Electrodiagnostic Testing (EMG/NCV) - (CPG129)
ANTHEM-BLUECROSS-CA
Trigger Point Injections
ANTHEM-BLUECROSS-CA
Trigger Point Injections
CIGNA
Intraoperative Monitoring - (0509)
CIGNA
Peripheral Nerve Destruction for Pain Conditions - (0525)
ANTHEM-BLUECROSS-CT
CG-SURG-17 Trigger Point Injections
ANTHEM-BLUECROSS-CT
CG-SURG-17 Trigger Point Injections
Similar Codes
ICD10CM codes
M54.50
- Low back pain, unspecified
M54.5
- Low back pain
M54.59
- Other low back pain
M54.51
- Vertebrogenic low back pain
M54.40
- Lumbago with sciatica, unspecified side
M54.4
- Lumbago with sciatica
M54.9
- Dorsalgia, unspecified
M54.3
- Sciatica
S39.92
- Unspecified injury of lower back
M54.30
- Sciatica, unspecified side
HCPCS codes
G9251
- Documentation of patient with pain not brought to a comfortable level within 48 hours from initial a
L5649
- Addition to lower extremity, ischial containment/narrow m-l socket
L0625
- Lumbar orthosis, flexible, provides lumbar support, posterior extends from l-1 to below l-5 vertebra
L1499
- Spinal orthosis, not otherwise specified
L0999
- Addition to spinal orthosis, not otherwise specified
G9250
- Documentation of patient pain brought to a comfortable level within 48 hours from initial assessment
L5690
- Addition to lower extremity, below knee, waist belt, padded and lined
L0641
- Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to belo
L0628
- Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcyge
L2999
- Lower extremity orthoses, not otherwise specified
CPT4 codes
2040F
- Physical examination on the date of the initial visit for low back pain performed, in accordance wit
63200
- Laminectomy, with release of tethered spinal cord, lumbar
00630
- Anesthesia for procedures in lumbar region; not otherwise specified
22899
- Unlisted procedure, spine
20999
- Unlisted procedure, musculoskeletal system, general
62270
- Spinal puncture, lumbar, diagnostic
00830
- Anesthesia for hernia repairs in lower abdomen; not otherwise specified
00820
- Anesthesia for procedures on lower posterior abdominal wall
22999
- Unlisted procedure, abdomen, musculoskeletal system
20251
- Biopsy, vertebral body, open; lumbar or cervical