Other low back pain
ICD-10 Code: M54.59 · Body Part: Lumbar Spine
QME Evaluation Process
Comprehensive lumbar examination with ROM testing per AMA Guides 5th Edition protocols. Consider DRE vs ROM method based on clinical presentation.
Typical Impairment Rating
5-20% WPI
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 Other low back pain
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Browse Neurology Physicians →Frequently Asked Questions
What is Other low back pain (M54.59)?
Other low back pain is an ICD-10 diagnosis code (M54.59) 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 M54.59 rated for impairment?
The typical whole person impairment (WPI) range for Other low back pain is 5-20% WPI. 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 M54.59?
Comprehensive lumbar examination with ROM testing per AMA Guides 5th Edition protocols. Consider DRE vs ROM method based on clinical presentation.
What treatments are common for Other low back pain?
Common treatments for Other low back pain include Physical therapy, Medication management, Epidural steroid injections. Treatment appropriateness and outcomes are considered during the QME evaluation when determining permanent and stationary status and apportionment.