2020 ICD-10-CM Diagnosis Code M54.3

Sciatica

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • M54.3 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2020 edition of ICD-10-CM M54.3 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of M54.3 - other international versions of ICD-10 M54.3 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 M54.3. 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.
  • lesion of sciatic nerve (
    ICD-10-CM Diagnosis Code G57.0

    Lesion of sciatic nerve

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    Type 2 Excludes
    • sciatica attributed to intervertebral disc disorder (M51.1.-)
    G57.0
    )
  • sciatica due to intervertebral disc disorder (
    ICD-10-CM Diagnosis Code M51.1

    Thoracic, thoracolumbar and lumbosacral intervertebral disc disorders with radiculopathy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Applicable To
    • Sciatica due to intervertebral disc disorder
    Type 1 Excludes
    M51.1-
    )
  • sciatica with lumbago (
    ICD-10-CM Diagnosis Code M54.4

    Lumbago with sciatica

      2016 2017 2018 2019 2020 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 M54.3 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 M54.3:
  • M00-M99
    2020 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
    2020 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 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • psychogenic dorsalgia (F45.41)
    Dorsalgia
Clinical Information
  • A condition characterized by pain radiating from the back into the buttock and posterior/lateral aspects of the leg. Sciatica may be a manifestation of sciatic neuropathy; radiculopathy (involving the spinal nerve roots; l4, l5, s1, or s2, often associated with intervertebral disk displacement); or lesions of the cauda equina.
  • Lower back pain radiating to the buttocks
  • Sciatica is a symptom of a problem with the sciatic nerve, a large nerve that runs from the lower back down the back of each leg. It controls muscles in the back of your knee and lower leg and provides feeling to the back of your thigh, part of your lower leg and the sole of your foot. When you have sciatica, you have pain, weakness, numbness or tingling. It can start in the lower back and extend down your leg to your calf, foot, or even your toes. It's usually on only one side of your body.sciatica may be due to a ruptured intervertebral disk, narrowing of the spinal canal that puts pressure on the nerve called spinal stenosis, or an injury such as a pelvic fracture. In many cases no cause can be found.sometimes sciatica goes away on its own. Treatment, if needed, depends on the cause of the problem. It may include exercises, medicines and surgery.
  • Syndrome characterized by pain radiating from the back into the buttock and into the lower extremity along its posterior or lateral aspect, and most commonly caused by protrusion of a low lumbar intervertebral disk; also used to refer to pain anywhere along the course of the sciatic nerve.
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
  • 2020 (effective 10/1/2019): No change
Code annotations containing back-references to M54.3:
  • Type 1 Excludes: G57.0
    , M51.1
    , M79.2
    ICD-10-CM Diagnosis Code G57.0

    Lesion of sciatic nerve

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    Type 2 Excludes
    • sciatica attributed to intervertebral disc disorder (M51.1.-)
    ICD-10-CM Diagnosis Code M51.1

    Thoracic, thoracolumbar and lumbosacral intervertebral disc disorders with radiculopathy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Applicable To
    • Sciatica due to intervertebral disc disorder
    Type 1 Excludes
    ICD-10-CM Diagnosis Code M79.2

    Neuralgia and neuritis, unspecified

      2016 2017 2018 2019 2020 Billable/Specific Code
    Type 1 Excludes

Diagnosis Index entries containing back-references to M54.3:

ICD-10-CM Codes Adjacent To M54.3
M54.10 …… site unspecified
M54.11 …… occipito-atlanto-axial region
M54.12 …… cervical region
M54.13 …… cervicothoracic region
M54.14 …… thoracic region
M54.15 …… thoracolumbar region
M54.16 …… lumbar region
M54.17 …… lumbosacral region
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

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