M54.50 diagnosis code · Billable code · FY2027
M54.50 Low back pain, unspecified
- Billable
- Not CC/MCC
- POA reported
M54.50 ICD-10 code: a billable diagnosis code in FY2027, one of 33 billable codes in category M54.
ICD-10 code by name
- What is the ICD-10 code for lumbago?
- Lumbago ICD-10 code: M54.50 Low back pain, unspecified. Alphabetic Index: Lumbago, lumbalgia → M54.50. Search ICD-10 for lumbago
Where it sits
- CC / MCC
- Neither
- MS-DRG
- 551-552
- HCC V28
- –
- POA
- Reported
- Code Editor
- –
- Index entries
- 7
Instructions
At M54.50
Inclusion terms
- Loin pain
- Lumbago NOS
Notes that also apply
Excludes1 from M54.5
- 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
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
NCHS Alphabetic Index. Index first, then the Tabular List.
Medicare grouping and edits
| CC / MCC | Neither |
|---|---|
| Appendix B | MDC 08 Diseases and Disorders of the Musculoskeletal System and Connective Tissue, MS-DRG 551-552 (Medical Back Problems with MCC…) |
| Code Editor | – |
| POA | Reported |
| HCC V28 | – |
CMS: MS-DRG v44 (Appendix B, C), MCE v44, POA list FY2027, 2027 Initial ICD-10-CM Mappings. What the rows mean.