M54.9 – Dorsalgia, Unspecified

Explore the M54.9 ICD-10-CM code for unspecified dorsalgia, its clinical description, synonyms, related codes, and FAQs about back pain diagnosis.

By Joshua Napilay on Feb 29, 2024.

Fact Checked by Nate Lacson.

Use Code
M54.9 – Dorsalgia, Unspecified

M54.9 Diagnosis Code: Dorsalgia, Unspecified

  • M54.9 is an ICD-10-CM code for diagnosing unspecified dorsalgia, which refers to back pain without a specified underlying cause or location.
  • Dorsalgia is a general term for pain or discomfort in the dorsal (back) region.
  • It can affect any part of the back, including the cervical (neck), thoracic (upper back), and lumbar (lower back) regions.
  • The pain can range from mild to severe and may be acute or chronic.
  • Common causes of dorsalgia include muscle strain, ligament sprain, spinal misalignment, disc degeneration, and nerve compression.
  • Diagnosis typically involves a thorough clinical examination, patient history, and imaging studies, such as X-rays or MRIs.

Is M54.9 Billable?

Yes, M54.9 is a billable ICD-10-CM code that can indicate a diagnosis for reimbursement purposes.

Clinical Information

  • Dorsalgia is a common complaint, with many individuals experiencing back pain at some point.
  • Poor posture, a sedentary lifestyle, and improper lifting techniques are common risk factors for back pain.
  • Conservative treatment options for dorsalgia include physical therapy, pain medication, hot/cold therapy, and lifestyle modifications.
  • In some cases, more invasive treatments, such as injections or surgery, may be necessary if conservative measures fail to provide relief.
  • Early intervention and proper management of dorsalgia can help prevent chronic pain and disability.

Synonyms Include

  • Unspecified back pain
  • Backache, unspecified
  • Back discomfort
  • Generalized back pain
  • Non-specific dorsalgia

Commonly asked questions

How is M54.9 different from M54.5?

M54.9 refers to unspecified dorsalgia or back pain without a specified underlying cause or location, while M54.5 refers explicitly to low back pain.

Can M54.9 be used for both inpatient and outpatient settings?

Yes, M54.9 is a billable code that can be used for both inpatient and outpatient medical settings to indicate a diagnosis for reimbursement purposes.

What information should be documented using the M54.9 code in medical records?

Documentation should include a clear description of the patient's symptoms, any known contributing factors, and additional information necessary to support the diagnosis and treatment plan.

Join 10,000+ teams using Carepatron to be more productive

One app for all your healthcare work