Navigating ICD-10 Code Changes for Low Back Pain: Post-M54.5 Discontinuation

ICD -10

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Timed Up and Go (TUG) Test Reference Table

Time (seconds) Interpretation Risk Category
Under 10 Normal Low Risk
10 - 19 Normal for Older Adults Low Risk
20 - 29 Borderline Moderate Risk
30 or more Abnormal High Risk
Over 45 Severely Abnormal Very High Risk

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Gait Speed Reference Table
Understanding your gait speed can help assess mobility and health. Use the table below to compare your result with typical walking speeds for different age groups.
Age Group Men's Gait Speed (m/s) Women's Gait Speed (m/s)
Young Adults (20-40 years) 1.2 - 1.4 1.2 - 1.4
Middle-aged Adults (40-60 years) 1.1 - 1.3 1.1 - 1.3
Older Adults (60-80 years) 0.9 - 1.2 0.8 - 1.1
Very Elderly (80+ years) 0.7 - 1.0 0.6 - 0.9

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The Sunset of ICD-10 Code M54.5

Every year, the Centers for Medicare & Medicaid Services (CMS) releases updates to the ICD-10 manual. These updates include adding new codes, deleting outdated ones, and revising existing ones. In a recent update, CMS announced the discontinuation of the ICD-10 code M54.5, which pertains to low back pain. This change took effect on October 1, 2021. The M54.5 code has been most frequently used in the rehabilitation therapy sector. Its removal is anticipated to impact the coding practices of most rehab therapists significantly.

Beyond M54.5: Other Codes Facing Deletion

While removing M54.5 is undoubtedly the most notable change, it's not the only one. Other codes that have been identified for deletion include:

  • R05 - Representing cough
  • R63.3- Indicating feeding difficulties

These deletions underscore the need for healthcare providers to stay updated and adapt to the evolving landscape of medical coding.

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