Low Back Pain Diagnosis Coding Update

Members & Publications

May 20, 2022

Effective October 1, 2021, the International Classification of Diseases (ICD) code for low back pain, M54.5 was replaced with three codes to add specificity to diagnosis.  The new codes added to ICD-10 include:

M54.50 Low back pain, unspecified

M54.51 Vertebrogenic low back pain

M54.59 Other low back pain

Full details of the current ICD-10 diagnoses codes can be downloaded on the Centers for Medicare & Medicaid Services website using the “2022 Code Tables, Tabular and Index” link toward the bottom of the page.

Legislation Introduced to Alleviate Impact of Conversion Factor Cut for 2021

Nov 09, 2020

Last month, two bills were introduced in the House proposing solutions to the estimated 10.6% Physician Fee Schedule conversion factor cut expected to go into effect January 1, 2021.  The bills offer some relief to the cut, but do not reflect a comprehensive or long-term solution.  AAPM&R has therefore chosen to remain neutral regarding these bills. 

Your Academy continues to advocate for a permanent solution to the conversion factor cut while maintaining the important payment increases to office and outpatient evaluation and management services.