Other low back pain
ICD-10 M54.59 is a billable code used to indicate a diagnosis of other low back pain.
M54.59 refers to 'Other low back pain,' which encompasses various forms of low back discomfort not classified under more specific codes. This condition can arise from multiple etiologies, including muscular strain, ligamentous injury, degenerative disc disease, or other underlying pathologies. Patients may present with symptoms ranging from mild discomfort to severe pain that can radiate to the lower extremities, potentially mimicking sciatica. The pain may be acute or chronic, and its management often involves a multidisciplinary approach. Conservative treatment options typically include physical therapy, analgesics, and lifestyle modifications, while surgical interventions may be considered for cases that do not respond to conservative measures or when there is significant neurological compromise. Accurate diagnosis and documentation are crucial, as they guide treatment decisions and coding accuracy.
Detailed history of the patient's condition, physical examination findings, imaging results, and treatment plans.
Patients presenting with chronic low back pain, post-surgical pain, or pain following trauma.
Documentation must clearly outline the rationale for surgical intervention if pursued.
Comprehensive assessment of functional limitations, treatment goals, and progress notes.
Patients undergoing rehabilitation for low back pain due to injury or surgery.
Focus on functional outcomes and the impact of pain on daily activities.
Used for patients undergoing rehabilitation for low back pain.
Documentation must include the type of exercises performed and the patient's response.
Physical therapists should document progress towards functional goals.
M54.59 should be used when the low back pain does not fit into the more specific category of M54.5, which is for unspecified low back pain. If there are identifiable factors contributing to the pain that do not fall under other specific codes, M54.59 is appropriate.