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See Category: Diseases of the musculoskeletal system and connective tissue
See Header: Other specified dorsopathies
ICD-10 (CM) Code and Descriptor
|
M53.86 |
Other specified dorsopathies, lumbar region
|
M5386 utilizaton on OPPS claims.*
Primary
ICD10 Code |
ICD10
Position 2 |
ICD10
Position 3 |
ICD10
Position 4 |
ICD10
Position 5 |
ICD10
Position 6 |
ICD10
Position 7 |
ICD10
Position 8 |
ICD10
Position 9 |
ICD10
Position 10 |
| 16.41%
|
24.03%
|
20.95%
|
14.13%
|
9.12%
|
5.32%
|
3.34%
|
2.20%
|
1.45%
|
0.98%
|
* Medicare Part A utilization data is derived from the 100% 2023 Outpatient (Fee-for-Service) Standard Analytical File.
Commonly Associated Procedure Codes for M53.86*:
| CPT |
Description |
Number of Claims |
Sum Performed |
|
97110
|
THERAPEUTIC EXERCISES |
4,614
|
9,837
|
|
97140
|
MANUAL THERAPY 1/> REGIONS |
1,714
|
2,083
|
|
97112
|
NEUROMUSCULAR REEDUCATION |
836
|
1,008
|
|
97530
|
THERAPEUTIC ACTIVITIES |
669
|
1,056
|
|
G0283
|
ELEC STIM OTHER THAN WOUND |
338
|
338
|
|
97161
|
PT EVAL LOW COMPLEX 20 MIN |
300
|
300
|
|
72148
|
MRI LUMBAR SPINE W/O DYE |
300
|
300
|
|
97162
|
PT EVAL MOD COMPLEX 30 MIN |
295
|
295
|
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
287
|
288
|
|
97150
|
GROUP THERAPEUTIC PROCEDURES |
183
|
183
|
|
97010
|
HOT OR COLD PACKS THERAPY |
179
|
182
|
|
72100
|
X-RAY EXAM L-S SPINE 2/3 VWS |
165
|
165
|
|
99213
|
OFFICE O/P EST LOW 20 MIN |
164
|
164
|
|
97113
|
AQUATIC THERAPY/EXERCISES |
161
|
455
|
|
97035
|
APP MDLTY 1+ULTRASOUND EA 15 |
132
|
133
|
|
97116
|
GAIT TRAINING THERAPY |
132
|
150
|
|
99214
|
OFFICE O/P EST MOD 30 MIN |
129
|
129
|
|
G0467
|
FQHC VISIT, ESTAB PT |
121
|
121
|
|
A9270
|
NON-COVERED ITEM OR SERVICE |
118
|
284
|
|
64494
|
INJ PARAVERT F JNT L/S 2 LEV |
114
|
116
|
* Derived from 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.
M53.86 related to the following DRG Codes:
551-552
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