Primary Care Coding Alert

You Be the Coder:

Diagnosing 'Resolved' Back Pain

Question: What diagnosis code should we report for resolved back pain? Does ICD-9 include a code for "resolved" at all, or do we just code the problem the patient had at the previous visit?

Massachusetts Subscriber

Answer: You'll want to code based on the reason for the visit. In this case, the doctor is following up on the patient's back pain, and doesn't know the pain has resolved until he sees the patient again. You might select either 724.2 (Lumbago) for low back pain or 724.5 (Back ache, unspecified). Be sure to include the appropriate diagnosis for the cause of pain, if known.

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