DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

M54.51 diagnosis code · Billable code · FY2027

M54.51 Vertebrogenic low back pain

  • Billable
  • Not CC/MCC
  • POA reported

M54.51 ICD-10 code: a billable diagnosis code in FY2027, one of 33 billable codes in category M54.

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
  5. M54.51 Vertebrogenic low back pain
CC / MCC
Neither
MS-DRG
551-552
HCC V28
–
POA
Reported
Code Editor
–
Index entries
6

Instructions

At M54.51

Inclusion terms

  • Low back vertebral endplate pain

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

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 backvertebral end plate → M54.51
  • Pain(s)low backvertebrogenic → M54.51
  • Pain(s)lumbar regionvertebral end plate → M54.51
  • Pain(s)lumbar regionvertebrogenic → M54.51
  • Pain(s)vertebrogeniclow back → M54.51
  • Pain(s)vertebrogeniclumbar → M54.51

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

Medicare grouping and edits

CMS files for M54.51
CC / MCCNeither
Appendix BMDC 08 Diseases and Disorders of the Musculoskeletal System and Connective Tissue, MS-DRG 551-552 (Medical Back Problems with MCC…)
Code Editor–
POAReported
HCC V28–

CMS: MS-DRG v44 (Appendix B, C), MCE v44, POA list FY2027, 2027 Initial ICD-10-CM Mappings. What the rows mean.

Hierarchy