Category · FY2027
M54 Dorsalgia
- Header · not billable
M54 is not billable. The category heads 33 billable codes in FY2027, grouped under 9 subdivisions.
ICD-10 code by name
- What is the ICD-10 code for back pain?
- Back pain ICD-10 code: M54.9 Dorsalgia, unspecified. Alphabetic Index: Pain(s)›back (postural) → M54.9. Search ICD-10 for back pain
Where it sits
- Billable codes
- 33
- Subdivisions
- 9
- CC / MCC codes
- 0 / 0
- HCC V28 codes
- 0
- New FY2027
- 0
- Index entries
- 49
Codes in M54
- M54.0
- M54.00Panniculitis affecting regions of neck and back, site unspecifiedBillable
- M54.01Panniculitis affecting regions of neck and back, occipito-atlanto-axial regionBillable
- M54.02Panniculitis affecting regions of neck and back, cervical regionBillable
- M54.03Panniculitis affecting regions of neck and back, cervicothoracic regionBillable
- M54.04Panniculitis affecting regions of neck and back, thoracic regionBillable
- M54.05Panniculitis affecting regions of neck and back, thoracolumbar regionBillable
- M54.06Panniculitis affecting regions of neck and back, lumbar regionBillable
- M54.07Panniculitis affecting regions of neck and back, lumbosacral regionBillable
- M54.08Panniculitis affecting regions of neck and back, sacral and sacrococcygeal regionBillable
- M54.09Panniculitis affecting regions, neck and back, multiple sites in spineBillable
- M54.1RadiculopathyHeader
Inclusion terms 5, Excludes1 4
Inclusion terms
- Brachial neuritis or radiculitis NOS
- Lumbar neuritis or radiculitis NOS
- Lumbosacral neuritis or radiculitis NOS
- Thoracic neuritis or radiculitis NOS
- Radiculitis NOS
- M54.10Radiculopathy, site unspecifiedBillable
- M54.11Radiculopathy, occipito-atlanto-axial regionBillable
- M54.12Radiculopathy, cervical regionBillable
- M54.13Radiculopathy, cervicothoracic regionBillable
- M54.14Radiculopathy, thoracic regionBillable
- M54.15Radiculopathy, thoracolumbar regionBillable
- M54.16Radiculopathy, lumbar regionBillable
- M54.17Radiculopathy, lumbosacral regionBillable
- M54.18Radiculopathy, sacral and sacrococcygeal regionBillable
- M54.2CervicalgiaBillable
Excludes1 1
Excludes1
- cervicalgia due to intervertebral cervical disc disorder (M50.-) M50
- M54.3SciaticaHeader
Excludes1 5
Excludes1
- intervertebral disc degeneration, lumbar region with lower extremity pain only (M51.361) M51.361
- intervertebral disc degeneration, lumbosacral region with lower extremity pain only (M51.371) M51.371
- lesion of sciatic nerve (G57.0) G57.0
- sciatica due to intervertebral disc disorder (M51.1-) M51.1
- sciatica with lumbago (M54.4-) M54.4
- M54.30Sciatica, unspecified sideBillable
- M54.31Sciatica, right sideBillable
- M54.32Sciatica, left sideBillable
- M54.4Lumbago with sciaticaHeader
Excludes1 3
Excludes1
- intervertebral disc degeneration, lumbar region with discogenic back pain and lower extremity pain (M51.362) M51.362
- intervertebral disc degeneration, lumbosacral region with discogenic back pain and lower extremity pain (M51.372) M51.372
- lumbago with sciatica due to intervertebral disc disorder (M51.1-) M51.1
- M54.40Lumbago with sciatica, unspecified sideBillable
- M54.41Lumbago with sciatica, right sideBillable
- M54.42Lumbago with sciatica, left sideBillable
- M54.5Low back pain 3 billable codesHeader
- M54.6Pain in thoracic spineBillable
Excludes1 1
Excludes1
- pain in thoracic spine due to intervertebral disc disorder (M51.-) M51
- M54.8
- M54.81Occipital neuralgiaBillable
- M54.89Other dorsalgiaBillable
- M54.9Dorsalgia, unspecifiedBillable
Inclusion terms 2
Inclusion terms
- Backache NOS
- Back pain NOS
Instructions
At M54
Excludes1
- psychogenic dorsalgia (F45.41) F45.41
Notes that also apply
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
- Radiculopathy → M54.10
- Cervicalgia → M54.2
- Sciatica (infective) → M54.3-
- Backache (postural) → M54.9
- Dorsalgia → M54.9
- Panniculitis (nodular) (nonsuppurative)›back → M54.00
- Panniculitis (nodular) (nonsuppurative)›neck → M54.02
- Radiculopathy›leg → M54.1-
- Radiculopathy›occipito-atlanto-axial region → M54.11
- Radiculopathy›cervical region → M54.12
- Radiculopathy›cervicothoracic region → M54.13
- Neuritis (rheumatoid)›thoracic → M54.14
- Radiculopathy›thoracic region (with visceral pain) → M54.14
- Radiculopathy›thoracolumbar region → M54.15
- Neuritis (rheumatoid)›lumbar → M54.16
- Radiculopathy›lumbar region → M54.16
- Neuritis (rheumatoid)›lumbosacral → M54.17
- Radiculopathy›lumbosacral region → M54.17
- Radiculopathy›sacrococcygeal region → M54.18
- Pain(s)›neck NEC → M54.2
- Sciatica (infective)›wallet → M54.3-
- Lumbago, lumbalgia›with sciatica → M54.4-
- Rheumatism (articular) (neuralgic) (nonarticular)›sciatic → M54.4-
- Sciatica (infective)›with lumbago → M54.4-
- Scoliosis (acquired) (postural)›sciatic → M54.4-
- Pain(s)›thoracic spine → M54.6
- Neuralgia, neuralgic (acute)›occipital → M54.81
- Backache (postural)›specified NEC → M54.89
- Dorsalgia›specified NEC → M54.89
- Pain(s)›vertebrogenic → M54.89
- Syndrome›vertebrogenic (pain) → M54.89
- Pain(s)›back (postural) → M54.9
- Pain(s)›spine → M54.9
- Panniculitis (nodular) (nonsuppurative)›back›occipito-atlanto-axial region → M54.01
- Panniculitis (nodular) (nonsuppurative)›neck›occipito-atlanto-axial region → M54.01
- Panniculitis (nodular) (nonsuppurative)›back›cervical region → M54.02
- Panniculitis (nodular) (nonsuppurative)›back›cervicothoracic region → M54.03
- Panniculitis (nodular) (nonsuppurative)›neck›cervicothoracic region → M54.03
- Panniculitis (nodular) (nonsuppurative)›back›thoracic region → M54.04
- Panniculitis (nodular) (nonsuppurative)›back›thoracolumbar region → M54.05
9 more, longer entries are not listed; the search box finds them by word.
NCHS Alphabetic Index. Index first, then the Tabular List.