2020 ICD-10-CM Diagnosis Code M54.4

Lumbago with sciatica

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • M54.4 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 M54.4 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of M54.4 - other international versions of ICD-10 M54.4 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 M54.4. 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.
  • lumbago with 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-
    )
The following code(s) above M54.4 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 M54.4:
  • 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
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 M54.4:
  • Type 1 Excludes: M54.3
    , M54.5
    , M79.2
    ICD-10-CM Diagnosis Code M54.3

    Sciatica

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • lesion of sciatic nerve (G57.0)
    • sciatica due to intervertebral disc disorder (M51.1-)
    • sciatica with lumbago (M54.4-)
    ICD-10-CM Diagnosis Code M54.5

    Low back pain

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Loin pain
    • Lumbago NOS
    Type 1 Excludes
    • low back strain (S39.012)
    • lumbago due to intervertebral disc displacement (M51.2-)
    • lumbago with sciatica (M54.4-)
    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 M54.4:
  • Lumbago, lumbalgia M54.5
    ICD-10-CM Diagnosis Code M54.5

    Low back pain

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Loin pain
    • Lumbago NOS
    Type 1 Excludes
    • low back strain (S39.012)
    • lumbago due to intervertebral disc displacement (M51.2-)
    • lumbago with sciatica (M54.4-)
  • Pain(s) R52
    - see also Painful
    ICD-10-CM Diagnosis Code R52

    Pain, unspecified

      2016 2017 2018 2019 2020 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)
    • spine M54.9
      ICD-10-CM Diagnosis Code M54.9

      Dorsalgia, unspecified

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Backache NOS
      • Back pain NOS
      • low back M54.5
        ICD-10-CM Diagnosis Code M54.5

        Low back pain

          2016 2017 2018 2019 2020 Billable/Specific Code
        Applicable To
        • Loin pain
        • Lumbago NOS
        Type 1 Excludes
        • low back strain (S39.012)
        • lumbago due to intervertebral disc displacement (M51.2-)
        • lumbago with sciatica (M54.4-)
        • with sciatica M54.4-
  • Rheumatism (articular) (neuralgic) (nonarticular) M79.0
    ICD-10-CM Diagnosis Code M79.0

    Rheumatism, unspecified

      2016 2017 2018 2019 2020 Billable/Specific Code
    Type 1 Excludes
    • sciatic M54.4-
  • Sciatica (infective)
  • Scoliosis (acquired) (postural) M41.9
    ICD-10-CM Diagnosis Code M41.9

    Scoliosis, unspecified

      2016 2017 2018 2019 2020 Billable/Specific Code
    • sciatic M54.4-

ICD-10-CM Codes Adjacent To M54.4
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
M54.81 Occipital neuralgia
M54.89 Other dorsalgia
M54.9 Dorsalgia, unspecified
M60 Myositis

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