I had a friend who was a Priest and was suddenly bed-ridden because one of his intervertebral discs had shifted. He had to be substituted by another Reverend Father to carry on the religious work my friend was doing at that center. As much as this may look to extreme or even far from simply discussing low back pain, they are related. What really happened was that my friend – the priest had been nursing a severe lower-back pain for a while and self-medicating. He is such a meticulous individual, who personally attends to the garden in the premises, walks his dog, and carries out his religious duties adequately with special charisma.

The International Classification of Diseases (ICD) is the international “standard diagnostic tool for epidemiology, health management, and clinical purposes”. It is being maintained by the World Health Organization (WHO) and the complete meaning of ICD officially is International Statistical Classification of Diseases and Related Health Problems. The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) is an alphanumeric system utilized by healthcare professionals in the classification and coding of all diseases. This manual (ICD-10-CM) comprises of about 70,000 diagnostic codes, but the entire ICD-10 manual which contains also the ICD-10-PCS that was made to be an improvement on the third volume of ICD-9-CM together has double of the figure that is contained in the ICD-10 for clinical modification (CM).

ICD 10 Low Back Pain

The entire section of “M” of the manual coded for the diseases of the musculoskeletal system and connective tissue. The categorization which stretched from M00 to M99, had the low back pain division allotted from M50 to M54 and that is termed “Other dorsopathies”, even though Dorsopathies generally is coded from M40 to M54. The word ‘Dorsopathies’ comes from dorsum which means the back, and –pathies which stem from the word pathology meaning diseases. Therefore that section deals with the sickness that one suffers on the low back region of the back. The codes are allotted from M50 – Cervical disc disorders, M51 – Thoracic, thoracolumbar, and lumbosacral intervertebral disc disorders, M53 – Other and unspecified dorsopathies, not elsewhere classified, M54 – Dorsalgia, and all of them are used universally to identify and make reference to the particular ones that is the subject topic in the research or discussion.

According to ICD-10, M54.5 is the adequate and exact code used for identifying low back pain. There are a number of terms that also exemplifies low back pain, but one should note that this label does not include low back strain which is represented as S39.012, or lumbago due to intervertebral disc displacement which is coded as M51.2, or lumbago with sciatica with ICD-10 code M54.4. It should definitely not be misconstrued with Panniculitis affecting regions of neck and back, the thoracolumbar region that is recognized by its ICD code of M54.05.

They are vast in their division and specificity as listed below:

  • Acute low back pain
  • Acute low back pain for less than 3 months
  • Acute low back pain less than 3 months
  • Chronic low back pain
  • Chronic low back pain for greater than 3 months
  • Chronic low back pain greater than 3 months
  • Chronic low back pain greater than 3 months duration
  • Low back pain for less than 3 months
  • Low back pain for less than 6 months
  • Low back pain in pregnancy
  • Low back pain less than 3 months
  • Low back pain less than 6 months
  • Low back pain without radiculopathy
  • Lumbar back pain acute,
  • Mechanical low back pain
  • Pain of lumbar, acute, for less than 3 months

When Doctors are diagnosing this back pain in the hospitals, they are looking to understand whether acute or chronic back pain which is being experienced in the lumbar or sacral regions. Furthermore, they make efforts to ascertain the connection between musculo-ligamentous sprains and strains or even intervertebral disk displacement or other conditions. All these allow them to administer and carry out appropriate management process, especially when it has to be done urgently.

Lumbar ICD 10 Spine Pain

The lumbar spine is where the largest vertebrae in the body are located. These vertebrae are prone to injury and degeneration. The Icd 10 classification for low back pain symptoms situated at the lumbar spine is M54.16 according to the 2018 ICD-10-CM Diagnosis Code. Lesion at one lumbar spinal level can lead to peculiar symptoms. Firstly, at the L3-L4 nerve root, there is shooting pain present in front of the thigh, which may be accompanied by tingling or numbness. This pain may radiate to more distal parts like the front of the knee, shin and foot.

Secondly, at the L4-L5, the pain presented is usually sciatic pain also known as sciatica. Pain is felt at the back of the thigh, possibly radiating the calves and often combined with low back pain. The next nerve root is L5-S1, where the lumbar spine is connected to the sacral bone. The joints at this site provide support, stability, a mobility of the hips and also serve the purpose of absorbing shock from the upper and lower parts of the human body. pain manifests as a result of problems with joints or compressed nerves. Due to injury to the back, specific nerves get irritated and this leads to radicular pain in certain areas depending on which structures were injured. The ability to identify the particular site where the pain occurs can aid a medical practitioner to correctly assess and diagnose the source of the pain symptoms.

Back Pain Doctor Near Me

There are a serious need and necessity to booking an appointment with a Doctor. Even when one does not yet show symptoms to back pain, the Doctor can educate one about ways to avoid injuring the back. There are many wrong practices that are part of our daily activities. For some people, it is merely an unavoidable part of their occupation which may make it difficult to avoid, but after being properly informed about safer ways of going about their job by the physician, then one can see it invaluable to meet with one earnestly.

Healthcare professionals are either experts themselves in helping fix issues with the back, or they are knowledgeable about those who can offer the services and they can then easily recommend those healthcare providers. One should not take for granted the effects of having either a bad posture or a severe low back pain or worse displacement like that of my friend. The earlier the better, get help, seek help.

 

 

References

FAQ: How will the transition to ICD-10 codes affect health IT?. (2010). SearchHealthIT. Retrieved 2 May 2018, from https://searchhealthit.techtarget.com/tutorial/FAQ-How-will-the-transition-to-ICD-10-codes-affect-health-IT

ICD-10-CM Codes. (2017). 2018 ICD-10-CM Codes M50-M54: Other dorsopathiesIcd10data.com. Retrieved 2 May 2018, from http://www.icd10data.com/ICD10CM/Codes/M00-M99/M50-M54

Nordqvist, C. (2017). Back pain: Causes, symptoms, and treatmentsMedical News Today. Retrieved 2 May 2018, from https://www.medicalnewstoday.com/articles/172943.php