Low back pain, unspecified
ICD-10 Code: M54.50 · Body Part: Lumbar Spine
QME Evaluation Process
Physical examination of the lumbar spine including range of motion testing, neurological assessment, and review of imaging studies. Impairment rated using DRE or ROM method per AMA Guides 5th Edition.
Typical Impairment Rating
5-25% WPI depending on DRE category or ROM deficit
AMA Guides Edition
5th Edition
Common Treatments
Related Conditions
Body Part Guide
Lumbar Spine Evaluation Guide
Impairment rating methods, common conditions, and QME evaluation protocols
QME Specialties for Low back pain, unspecified
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What is Low back pain, unspecified (M54.50)?
Low back pain, unspecified is an ICD-10 diagnosis code (M54.50) classified under Musculoskeletal conditions. It affects the Lumbar Spine and is commonly encountered in California workers' compensation claims. QME physicians evaluate this condition using AMA Guides 5th Edition protocols.
How is M54.50 rated for impairment?
The typical whole person impairment (WPI) range for Low back pain, unspecified is 5-25% WPI depending on DRE category or ROM deficit. The exact rating depends on clinical findings, imaging, and the evaluation method (DRE or ROM) chosen by the QME physician per AMA Guides 5th Edition.
What is the QME evaluation process for M54.50?
Physical examination of the lumbar spine including range of motion testing, neurological assessment, and review of imaging studies. Impairment rated using DRE or ROM method per AMA Guides 5th Edition.
What treatments are common for Low back pain, unspecified?
Common treatments for Low back pain, unspecified include Physical therapy, Epidural steroid injections, NSAIDs. Treatment appropriateness and outcomes are considered during the QME evaluation when determining permanent and stationary status and apportionment.