ICD-10-CM Code M54


Version 2020 Non-Billable Code

Not Valid for Submission

M54 is a "header" nonspecific and non-billable code code, consider using a code with a higher level of specificity for a diagnosis of dorsalgia. The code is NOT valid for the year 2020 for the submission of HIPAA-covered transactions.

Short Description:Dorsalgia
Long Description:Dorsalgia

Consider the following ICD-10 codes with a higher level of specificity:

  • M54.0 - Panniculitis affecting regions of neck and back
  • M54.00 - Panniculitis affecting regions of neck and back, site unspecified
  • M54.01 - Panniculitis affecting regions of neck and back, occipito-atlanto-axial region
  • M54.02 - Panniculitis affecting regions of neck and back, cervical region
  • M54.03 - Panniculitis affecting regions of neck and back, cervicothoracic region
  • M54.04 - Panniculitis affecting regions of neck and back, thoracic region
  • M54.05 - Panniculitis affecting regions of neck and back, thoracolumbar region
  • M54.06 - Panniculitis affecting regions of neck and back, lumbar region
  • M54.07 - Panniculitis affecting regions of neck and back, lumbosacral region
  • M54.08 - Panniculitis affecting regions of neck and back, sacral and sacrococcygeal region
  • M54.09 - Panniculitis affecting regions, neck and back, multiple sites in spine
  • M54.1 - Radiculopathy
  • M54.10 - Radiculopathy, site unspecified
  • M54.11 - Radiculopathy, occipito-atlanto-axial region
  • M54.12 - Radiculopathy, cervical region
  • M54.13 - Radiculopathy, cervicothoracic region
  • M54.14 - Radiculopathy, thoracic region
  • M54.15 - Radiculopathy, thoracolumbar region
  • M54.16 - Radiculopathy, lumbar region
  • M54.17 - Radiculopathy, lumbosacral region
  • M54.18 - Radiculopathy, sacral and sacrococcygeal region
  • M54.2 - Cervicalgia
  • M54.3 - Sciatica
  • M54.30 - Sciatica, unspecified side
  • M54.31 - Sciatica, right side
  • M54.32 - Sciatica, left side
  • M54.4 - Lumbago with sciatica
  • M54.40 - Lumbago with sciatica, unspecified side
  • M54.41 - Lumbago with sciatica, right side
  • M54.42 - Lumbago with sciatica, 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 - ... unspecified

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code M54:

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • psychogenic dorsalgia F45.41

Code Classification

  • Diseases of the musculoskeletal system and connective tissue (M00–M99)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients

Back Pain

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 treatments, and sometimes surgery.

NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases

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