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M54.5

⚠ Non-billable (Header)

Low back pain

Diseases of the musculoskeletal system and connective tissue (M00-M99)

⚠️ This is a category header code — not billable. Use a more specific child code below.

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❌ Excludes1

direct

Cannot be coded with M54.5

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

❌ Excludes1

inherited from M54

Rules from parent category M54: Dorsalgia

  • • psychogenic dorsalgia (F45.41)

Child Codes (3)

M54.50Low back pain, unspecifiedM54.51Vertebrogenic low back painM54.59Other low back pain

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Code Information

CodeM54.5
BillableNo — Header code
ParentM54
CategoryDiseases of the musculoskeletal system and connective tissue (M00-M99)
Excludes16 rule(s)
Excludes20 note(s)
Child codes3

Data Source

CMS ICD-10-CM 2026 Tabular List

Updated October 1, 2025 (FY2026)