Home Health A Detailed Guide On Chronic Back Pain Icd-10.

A Detailed Guide On Chronic Back Pain Icd-10.


Chronic back pain can simply be defined as a pain that persists for more than 3 months. If you are experiencing such kind of a condition then you are not alone in this. Approximately 80% of adults experience chronic back pain in their lifetime.

The low back pain has resulted in job-related disability resulting in loss of jobs for many workers following the inability to effectively handle their tasks. The chronic pain condition ranges from dull to constant aches and finally to a more intense sharp sensation leaving you incapacitated and hence unable to perform your regular duties.

The back pain condition may be caused by several conditions including lifting heavy tools and equipment or even age-related conditions. If the pains are not intense, self-care practices may be ideal to soothe the pains.

However, if the pains are more intense and have lasted for 3 or more months then you should find a more effective treatment to soothe the low back pains.

With the continued cases of more patients battling chronic pain conditions, more medications have been provided to help in diagnosing the condition. Various codes have therefore been introduced as well to indicate the specific diagnosis for every type of the back pains.

The chronic back pain ICD-10 was thus launched on 1st, October 2019 specifying a particular chronic back pain diagnosis meant effective back pain treatment and reimbursement purposes.

This article will, therefore, focus more on the rules regarding the sequencing of the ICD codes.

Types Of Pain Codes.

There three main types of pain codes as depicted in the chronic pain ICD including;

• Pain relating to a specific body system as classified in the ICD-10 manual.

• Body pains that do not relate to a specific body system and hence classified based on the patient’s signs and symptoms.

• Other specific body pains are categorized in the G89 chapter.

We will discuss more on the back pain codes to help you understand more on the back pain ICD-10 coding system.

The Pain Of Unspecified Site:

The pain of unspecified site
The pain of unspecified site

Sometimes the physicians may not provide more specific details on the specific body part where intense pains are being experienced.

According to the radiology department, such diagnosis constitutes wrong documentation procedures and therefore the physicians are asked to provide more specific information on whether the patient is experiencing, knee pains, back pains or pains in other body parts.

The ICD-10 coding thus indicates a specific diagnosis on the specific body part where the patient is experiencing chronic body pain for reimbursement purposes.

In cases where the physicians are unable to identify the specific body part, then reimbursement procedures may be altered as it may be difficult to code such cases.

Chronic Back Pain.

The ICD-10 coding system contains more than 30 different codes in giving specifying diagnosis on back pain conditions. Such codes include M54.6: Pain in thoracic spine and M54.2: Cervicalgia among other codes. Physicians are therefore encouraged to identify the specific cause of the back pain in order to provide the right treatment for that specific back pain condition.

Usually, the different causes of the back pain may be determined by looking into more details on the frequency of the pains, duration, the specific code part where body pains are being experienced and the intensity of the back pains as well. The patient can also elaborate on the signs and symptoms experienced as well.

Below are some of the common requirements on how to document the back pain conditions;

back pain conditions
back pain conditions

• A detailed specification on the site, for instance, the low back, cervical or any other body part based on the pain conditions experienced by the patient

• The physician should also state the laterality of the back pains.

• Enquire more from the patient and do more examinations to determine the cause of the back pain.

• Specify whether the condition id panniculitis or radiculopathy.

• Also, provide more details if Lumbago condition is present.

Proper diagnosis and specifications on the back pain condition are ideal for proper back pain ICD-10 coding procedures and hence helping in proper treatment processes.

A single ICD-10 code or more codes may be specified based on the complexity of the patient’s conditions. However, the chronic back pain Coding procedures should meet both the local and the international requirements to ensure that the patient receives effective back pain treatments and those accurate reimbursements are also processed.



Please enter your comment!
Please enter your name here