M54 is a non-billable ICD-10-CM category code for dorsalgia, so it cannot be submitted on claims. Use a more specific code from this category instead, such as M54.00, M54.01, M54.02, and M54.03.
Code Identity
Code Classification
Specific Coding for DorsalgiaOverview
Non-specific codes like M54 require more characters. Use one of these billable codes instead:
M54.0 for Panniculitis affecting regions of neck and back
Use M54.00 for Panniculitis affecting regions of neck and back, site unspecified
Use M54.01 for Panniculitis affecting regions of neck and back, occipito-atlanto-axial region
Use M54.02 for Panniculitis affecting regions of neck and back, cervical region
Use M54.03 for Panniculitis affecting regions of neck and back, cervicothoracic region
Use M54.04 for Panniculitis affecting regions of neck and back, thoracic region
Use M54.05 for Panniculitis affecting regions of neck and back, thoracolumbar region
Use M54.06 for Panniculitis affecting regions of neck and back, lumbar region
Use M54.07 for Panniculitis affecting regions of neck and back, lumbosacral region
Use M54.08 for Panniculitis affecting regions of neck and back, sacral and sacrococcygeal region
Use M54.09 for Panniculitis affecting regions, neck and back, multiple sites in spine
M54.1 for Radiculopathy
Use M54.10 for Radiculopathy, site unspecified
Use M54.11 for Radiculopathy, occipito-atlanto-axial region
Use M54.12 for Radiculopathy, cervical region
Use M54.13 for Radiculopathy, cervicothoracic region
Use M54.14 for Radiculopathy, thoracic region
Use M54.15 for Radiculopathy, thoracolumbar region
Use M54.16 for Radiculopathy, lumbar region
Use M54.17 for Radiculopathy, lumbosacral region
Use M54.18 for Radiculopathy, sacral and sacrococcygeal region
Use M54.2 for Cervicalgia
M54.3 for Sciatica
Use M54.30 for Sciatica, unspecified side
Use M54.31 for Sciatica, right side
Use M54.32 for Sciatica, left side
M54.4 for Lumbago with sciatica
Use M54.40 for Lumbago with sciatica, unspecified side
Use M54.41 for Lumbago with sciatica, right side
Use M54.42 for Lumbago with sciatica, left side
M54.5 for Low back pain
Use M54.50 for Low back pain, unspecified
Use M54.51 for Vertebrogenic low back pain
Use M54.59 for Other low back pain
Use M54.6 for Pain in thoracic spine
M54.8 for Other dorsalgia
Use M54.81 for Occipital neuralgia
Use M54.89 for Other dorsalgia
Use M54.9 for Dorsalgia, unspecified
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to M54: its own notes plus those printed at block M50-M54 and Chapter 13. A note printed at a category, block or chapter applies to every code under it.
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
- psychogenic dorsalgia (F45.41)
- current injury - see injury of spine by body region
- discitis NOS (M46.4-)
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
- 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)
Notes
General instructions on how these codes are used.
- Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name M54, its category, or a range that includes it.
Excludes1 2
These codes carry an Excludes1 note naming M54: they are not reported together with it, unless the two conditions are unrelated.
Patient EducationClinical
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.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Code HistoryHistory
Questions About M54Overview
What is the ICD-10 code for dorsalgia?
M54 is the ICD-10-CM category for dorsalgia, but it is a non-billable header: claims need a more specific code from this category, listed on this page.
Is M54 (Dorsalgia) a billable code?
No. This is a category header that groups the codes for dorsalgia, and headers cannot be submitted on claims. Claims for dorsalgia need a more specific code from this category, such as M54.00, M54.01, and M54.02.
Can M54 be reported with F45.41?
Not as a rule. The Excludes1 note on M54 lists "psychogenic dorsalgia (F45.41)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).