M54.51 – Vertebrogenic low back pain

Discover the diagnosis code M54.51 for vertebrogenic low back pain. Understand its clinical description, billability, synonyms, commonly used codes, and more.

By Chloe Smith on Feb 29, 2024.

Fact Checked by Ericka Pingol.

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M54.51  – Vertebrogenic low back pain

M54.51 Diagnosis Code: Vertebrogenic low back pain

  • Vertebrogenic low back pain is diagnosed using the ICD-10-CM code M54.51.
  • It is a clinical term for lower back pain originating from the spine's vertebrae.
  • This condition is commonly associated with degenerative changes, such as disc herniation, osteoarthritis, or spinal stenosis.
  • The pain experienced in vertebrogenic low back pain may radiate to the buttocks or thighs and is often aggravated by movement or prolonged sitting.
  • Individuals with this condition may experience stiffness, limited range of motion, and muscle spasms in the lower back.

Is M54.51 Billable: Yes

Yes, the ICD-10-CM code M54.51 for vertebrogenic low back pain is billable. Healthcare providers can use this code for reimbursement when documenting and treating patients with this condition. It is important to accurately assign the appropriate diagnosis code during the billing process to ensure proper classification and reimbursement.

Clinical Information

The following clinical information typically characterizes vertebrogenic low back pain:

  • Pain in the lower back region, usually originating from the vertebrae.
  • Radiating pain to the buttocks or thighs.
  • Pain is aggravated by movement, prolonged sitting, or certain activities.
  • Stiffness and limited range of motion in the lower back.
  • Muscle spasms in the lower back.
  • Possible associated symptoms include tingling, numbness, or weakness in the legs.

Synonyms Include:

Synonyms for the ICD-10-CM code M54.51, vertebrogenic low back pain, may include:

  • Degenerative lumbar spine disease-related pain
  • Vertebral origin low back pain
  • Spinal degeneration-associated back pain
  • Osteoarthrosis-related lumbar pain
  • Intervertebral disc degeneration-related back pain

Commonly asked questions

What are the common causes of vertebrogenic low back pain?

Various factors, including degenerative changes in the spine, such as disc herniation, osteoarthritis, or spinal stenosis can cause vertebrogenic low back pain. Poor posture, sedentary lifestyle, trauma, and aging can also contribute to this condition.

How is vertebrogenic low back pain diagnosed?

Diagnosis of vertebrogenic low back pain is typically based on clinical evaluation, medical history, physical examination, and imaging tests such as X-rays, magnetic resonance imaging (MRI), or computed tomography (CT) scans.

What are the treatment options for vertebrogenic low back pain?

Treating vertebrogenic low back pain may include conservative measures such as physical therapy, pain medications, hot/cold therapy, and lifestyle modifications. In more severe cases, injections or surgical interventions may be considered. Consulting with a healthcare professional for an accurate diagnosis and personalized treatment plan is essential.

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