Vertebrogenic low back pain

This code signifies low back pain that originates from a vertebral structure, such as the vertebral body, endplates, or facet joints, rather than from disc herniation, radiculopathy, or muscle strain. It describes a type of axial low back pain where the source is specifically attributed to the bony or cartilaginous components of the spinal column itself.

Apply this code when documentation clearly indicates low back pain with a confirmed vertebrogenic origin, often diagnosed through imaging (e.g., MRI showing Modic changes) or diagnostic blocks. This code is appropriate for patients experiencing chronic or acute low back pain where other specific causes have been ruled out or are not the primary source.

• Ensure documentation specifies "vertebrogenic" or clearly links the pain to vertebral structures.
• Do not use this code for low back pain due to disc herniation (M51.2-), radiculopathy (M54.1-), or sciatica (M54.3-).
• Consider sequencing this code as the primary diagnosis if it is the main reason for the encounter, followed by any associated conditions.