2017/18 ICD-10-CM Diagnosis Code M54.5

Low back pain

Applicable To
  • Loin pain
  • Lumbago NOS
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as M54.5. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • low back strain (
    ICD-10-CM Diagnosis Code S39.012

    Strain of muscle, fascia and tendon of lower back

      2016 2017 2018 Non-Billable/Non-Specific Code
    S39.012
    )
  • lumbago due to intervertebral disc displacement (
    ICD-10-CM Diagnosis Code M51.2

    Other thoracic, thoracolumbar and lumbosacral intervertebral disc displacement

      2016 2017 2018 Non-Billable/Non-Specific Code
    Applicable To
    • Lumbago due to displacement of intervertebral disc
    M51.2-
    )
  • lumbago with sciatica (
    ICD-10-CM Diagnosis Code M54.4

    Lumbago with sciatica

      2016 2017 2018 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • lumbago with sciatica due to intervertebral disc disorder (M51.1-)
    M54.4-
    )
The following code(s) above M54.5 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to M54.5:
  • M00-M99
    2018 ICD-10-CM Range M00-M99

    Diseases of the musculoskeletal system and connective tissue

    Note
    • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
    Type 2 Excludes
    • arthropathic psoriasis (L40.5-)
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • compartment syndrome (traumatic) (T79.A-)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
    Diseases of the musculoskeletal system and connective tissue
  • M50-M54
    2018 ICD-10-CM Range M50-M54

    Other dorsopathies

    Type 1 Excludes
    • current injury - see injury of spine by body region
    • discitis NOS (M46.4-)
    Other dorsopathies
  • M54
    ICD-10-CM Diagnosis Code M54

    Dorsalgia

      2016 2017 2018 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • psychogenic dorsalgia (F45.41)
    Dorsalgia
Approximate Synonyms Clinical Information ICD-10-CM M54.5 is grouped within Diagnostic Related Group(s) (MS-DRG v35.0):

Convert M54.5 to ICD-9-CM

Code History
Code annotations containing back-references to M54.5:

Diagnosis Index entries containing back-references to M54.5:

ICD-10-CM Codes Adjacent To M54.5
M54.18 …… sacral and sacrococcygeal region
M54.2 Cervicalgia
M54.3 Sciatica
M54.30 …… unspecified side
M54.31 …… right side
M54.32 …… left side
M54.4 Lumbago with sciatica
M54.40 …… unspecified side
M54.41 …… right side
M54.42 …… left side
M54.5 Low back pain
M54.6 Pain in thoracic spine
M54.8 Other dorsalgia
M54.81 Occipital neuralgia
M54.89 Other dorsalgia
M54.9 Dorsalgia, unspecified
M60 Myositis
M60.0 Infective myositis
M60.00 Infective myositis, unspecified site
M60.000 Infective myositis, unspecified right arm
M60.001 Infective myositis, unspecified left arm

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.