Other dorsalgia
ICD-10 M54.89 is a billable code used to indicate a diagnosis of other dorsalgia.
Dorsalgia refers to pain in the back region, which can arise from various underlying conditions affecting the spine, muscles, ligaments, or nerves. The term 'other dorsalgia' encompasses back pain that does not fit into more specific categories such as cervical or lumbar pain. Patients may experience symptoms ranging from mild discomfort to severe pain, which can be acute or chronic in nature. Common causes include muscle strain, degenerative disc disease, herniated discs, and conditions like sciatica, where nerve compression leads to pain radiating down the leg. Management of dorsalgia typically begins with conservative approaches, including physical therapy, pain medications, and lifestyle modifications. In cases where conservative treatment fails, surgical options may be considered, such as discectomy or spinal fusion. Accurate diagnosis and treatment planning are crucial, as the underlying cause of dorsalgia can significantly influence the management strategy.
Detailed history of present illness, physical examination findings, imaging results, and treatment plans.
Patients presenting with chronic back pain, post-surgical follow-ups, or acute injuries.
Ensure documentation reflects the specific nature of the dorsalgia and any associated conditions.
Functional assessments, treatment goals, and progress notes.
Rehabilitation following back surgery or chronic pain management.
Documenting the impact of dorsalgia on daily activities and quality of life is crucial.
Used for patients undergoing physical therapy for dorsalgia.
Documentation must include the specific exercises performed and the patient's response.
Physical therapists should document progress and any modifications to the treatment plan.
M54.89 should be used when the back pain does not fit into a more specific category, and the documentation supports a diagnosis of 'other dorsalgia'.
