Vertebrogenic low back pain
ICD-10 Code: M54.51 · Body Part: Lumbar Spine
QME Evaluation Process
Physical examination with focus on vertebral segmental dysfunction, imaging correlation, and pain provocation testing. DRE method preferred when radiculopathy absent.
Typical Impairment Rating
5-15% WPI per DRE Category II-III
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 Vertebrogenic low back pain
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What is Vertebrogenic low back pain (M54.51)?
Vertebrogenic low back pain is an ICD-10 diagnosis code (M54.51) 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 M54.51 rated for impairment?
The typical whole person impairment (WPI) range for Vertebrogenic low back pain is 5-15% WPI per DRE Category II-III. 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 M54.51?
Physical examination with focus on vertebral segmental dysfunction, imaging correlation, and pain provocation testing. DRE method preferred when radiculopathy absent.
What treatments are common for Vertebrogenic low back pain?
Common treatments for Vertebrogenic low back pain include Physical therapy, Chiropractic care, Facet joint injections. Treatment appropriateness and outcomes are considered during the QME evaluation when determining permanent and stationary status and apportionment.