DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Subcategory · FY2027

M54.5 Low back pain

  • Header · not billable

M54.5 is not billable. The subcategory heads 3 billable codes in FY2027: the 3 codes directly below it.

ICD-10 code by name

What is the ICD-10 code for low back pain, unspecified?
Low back pain ICD-10 code: M54.50 Low back pain, unspecified. Search ICD-10 for low back pain
What is the ICD-10 code for vertebrogenic low back pain?
Vertebrogenic low back pain ICD-10 code: M54.51 Vertebrogenic low back pain. Search ICD-10 for vertebrogenic low back pain
What is the ICD-10 code for other low back pain?
Other low back pain ICD-10 code: M54.59 Other low back pain. Search ICD-10 for other low back pain

Where it sits

  1. Chapter 13 Diseases of the musculoskeletal system and connective tissue (M00-M99)
  2. M50-M54 Other dorsopathies (M50-M54)
  3. M54 Dorsalgia
  4. M54.5 Low back pain
Billable codes
3
Subdivisions
3
CC / MCC codes
0 / 0
HCC V28 codes
0
New FY2027
0
Index entries
1

Codes in M54.5

  1. M54.50
    Low back pain, unspecified 1 billable code
    Billable
  2. M54.51
    Vertebrogenic low back pain 1 billable code
    Billable
  3. M54.59
    Other low back pain
    Billable

Sources of each column.

Instructions

At M54.5

Excludes1

  • intervertebral disc degeneration, lumbar region with discogenic back pain only (M51.360) M51.360
  • intervertebral disc degeneration, lumbosacral region with discogenic back pain only (M51.370) M51.370
  • low back strain (S39.012) S39.012
  • lumbago due to intervertebral disc displacement (M51.2-) M51.2
  • lumbago with sciatica (M54.4-) M54.4

Notes that also apply

Excludes1 from M54

  • psychogenic dorsalgia (F45.41) F45.41

Block M50-M54 instructions (Excludes1 2): printed on the block page.

Chapter 13 instructions (Notes 1, Excludes2 10): printed on the chapter 13 page.

Index entries

  • Pain(s)low backspecified NEC → M54.59

NCHS Alphabetic Index. Index first, then the Tabular List.

Hierarchy