2019 ICD-10-CM Diagnosis Code M54

Dorsalgia

    2016 2017 2018 2019 Non-Billable/Non-Specific Code
  • M54 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2019 edition of ICD-10-CM M54 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of M54 - other international versions of ICD-10 M54 may differ.
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. 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.
  • psychogenic dorsalgia (
    ICD-10-CM Diagnosis Code F45.41

    Pain disorder exclusively related to psychological factors

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Somatoform pain disorder (persistent)
    F45.41
    )
The following code(s) above M54 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:
  • M00-M99
    2019 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
    2019 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
Clinical Information
  • A disorder characterized by marked discomfort sensation in the back region.
  • Acute or chronic pain located in the posterior regions of the thorax, lumbosacral region, or the adjacent regions.
  • Acute or chronic pain located in the posterior regions of the thorax; lumbosacral region; or the adjacent regions.
  • If you've ever groaned, "oh, my aching back!", you are not alone. Back pain is one of the most common medical problems, affecting 8 out of 10 people at some point during their lives. Back pain can range from a dull, constant ache to a sudden, sharp pain. Acute back pain comes on suddenly and usually lasts from a few days to a few weeks. Back pain is called chronic if it lasts for more than three months.most back pain goes away on its own, though it may take awhile. Taking over-the-counter pain relievers and resting can help. However, staying in bed for more than 1 or 2 days can make it worse. If your back pain is severe or doesn't improve after three days, you should call your health care provider. You should also get medical attention if you have back pain following an injury.treatment for back pain depends on what kind of pain you have, and what is causing it. It may include hot or cold packs, exercise, medicines, injections, complementary and alternative treatments, and sometimes surgery. nih: national institute of arthritis and musculoskeletal and skin diseases
  • Painful sensation in the back region.
  • Sensation of unpleasant feeling indicating potential or actual damage to some body structure felt in the back.
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
Code annotations containing back-references to M54:
  • Type 1 Excludes: R52
    , G55
    ICD-10-CM Diagnosis Code R52

    Pain, unspecified

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Acute pain NOS
    • Generalized pain NOS
    • Pain NOS
    Type 1 Excludes
    • acute and chronic pain, not elsewhere classified (G89.-)
    • localized pain, unspecified type - code to pain by site, such as:
    • abdomen pain (R10.-)
    • back pain (M54.9)
    • breast pain (N64.4)
    • chest pain (R07.1-R07.9)
    • ear pain (H92.0-)
    • eye pain (H57.1)
    • headache (R51)
    • joint pain (M25.5-)
    • limb pain (M79.6-)
    • lumbar region pain (M54.5)
    • pelvic and perineal pain (R10.2)
    • shoulder pain (M25.51-)
    • spine pain (M54.-)
    • throat pain (R07.0)
    • tongue pain (K14.6)
    • tooth pain (K08.8)
    • renal colic (N23)
    • pain disorders exclusively related to psychological factors (F45.41)
    ICD-10-CM Diagnosis Code G55

    Nerve root and plexus compressions in diseases classified elsewhere

      2016 2017 2018 2019 Billable/Specific Code Manifestation Code
    Code First
    • underlying disease, such as:
    • neoplasm (C00-D49)
    Type 1 Excludes
    • nerve root compression (due to) (in) ankylosing spondylitis (M45.-)
    • nerve root compression (due to) (in) dorsopathies (M53.-, M54.-)
    • nerve root compression (due to) (in) intervertebral disc disorders (M50.1.-, M51.1.-)
    • nerve root compression (due to) (in) spondylopathies (M46.-, M48.-)
    • nerve root compression (due to) (in) spondylosis (M47.0-M47.2.-)
  • Type 2 Excludes: R10
    , G89
    ICD-10-CM Diagnosis Code R10

    Abdominal and pelvic pain

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • renal colic (N23)
    Type 2 Excludes
    • dorsalgia (M54.-)
    • flatulence and related conditions (R14.-)
    ICD-10-CM Diagnosis Code G89

    Pain, not elsewhere classified

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Code Also
    • related psychological factors associated with pain (F45.42)
    Type 1 Excludes
    • generalized pain NOS (R52)
    • pain disorders exclusively related to psychological factors (F45.41)
    • pain NOS (R52)
    Type 2 Excludes
ICD-10-CM Codes Adjacent To M54
M53.80 …… site unspecified
M53.81 …… occipito-atlanto-axial region
M53.82 …… cervical region
M53.83 …… cervicothoracic region
M53.84 …… thoracic region
M53.85 …… thoracolumbar region
M53.86 …… lumbar region
M53.87 …… lumbosacral region
M53.88 …… sacral and sacrococcygeal region
M53.9 Dorsopathy, unspecified
M54 Dorsalgia
M54.0 Panniculitis affecting regions of neck and back
M54.00 …… site unspecified
M54.01 …… occipito-atlanto-axial region
M54.02 …… cervical region
M54.03 …… cervicothoracic region
M54.04 …… thoracic region
M54.05 …… thoracolumbar region
M54.06 …… lumbar region
M54.07 …… lumbosacral region
M54.08 …… sacral and sacrococcygeal region

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