2022 ICD-10-CM Diagnosis Code M54.9

Dorsalgia, unspecified

    2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code
  • M54.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2022 edition of ICD-10-CM M54.9 became effective on October 1, 2021.
  • This is the American ICD-10-CM version of M54.9 - other international versions of ICD-10 M54.9 may differ.
Applicable To
  • Backache NOS
  • Back pain NOS
The following code(s) above M54.9 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 M54.9:
  • M00-M99
    2022 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
    2022 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 2021 2022 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • psychogenic dorsalgia (F45.41)
    Dorsalgia
Approximate Synonyms
  • Back pain
  • Back pain for less than 3 months
  • Back pain less than 3 months
  • Back pain without radiculopathy
  • Backache
  • Backache for less than 3 months
  • Backache without radiculopathy
  • Chronic back pain for greater than 3 months
  • Chronic back pain greater than 3 months
  • Chronic back pain greater than 3 months duration
  • Chronic back pain greater than three months duration
  • Dorsalgia
  • Dorsalgia (upper back pain)
  • Pain in spine
  • Spine pain
  • Thoracic back pain
  • Upper back pain
  • Vertebral joint pain
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.
ICD-10-CM M54.9 is grouped within Diagnostic Related Group(s) (MS-DRG v39.0):
  • 551 Medical back problems with mcc
  • 552 Medical back problems without mcc

Convert M54.9 to ICD-9-CM

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
  • 2021 (effective 10/1/2020): No change
  • 2022 (effective 10/1/2021): No change
Code annotations containing back-references to M54.9:
  • Type 1 Excludes: R52
    ICD-10-CM Diagnosis Code R52

    Pain, unspecified

      2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code
    Applicable To
    • Acute pain NOS
    • Generalized pain NOS
    • Pain NOS
    Type 1 Excludes
  • Type 2 Excludes: G89
    ICD-10-CM Diagnosis Code G89

    Pain, not elsewhere classified

      2016 2017 2018 2019 2020 2021 2022 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

Diagnosis Index entries containing back-references to M54.9:
  • Backache (postural) M54.9
  • Dorsalgia M54.9
  • Pain(s) R52
    - see also Painful
    ICD-10-CM Diagnosis Code R52

    Pain, unspecified

      2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code
    Applicable To
    • Acute pain NOS
    • Generalized pain NOS
    • Pain NOS
    Type 1 Excludes
    • spine M54.9
    • back M54.9 (postural)

ICD-10-CM Codes Adjacent To M54.9
M54.41 …… right side
M54.42 …… left side
M54.5 Low back pain
M54.50 …… unspecified
M54.51 Vertebrogenic low back pain
M54.59 Other 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
M60.002 Infective myositis, unspecified arm
M60.003 Infective myositis, unspecified right leg
M60.004 Infective myositis, unspecified left leg
M60.005 Infective myositis, unspecified leg
M60.009 Infective myositis, unspecified site

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