2026 ICD-10-CM Diagnosis Code M54.30Sciatica, unspecified side
ICD-10-CM Codes›M00–M99›M50-M54›M54
- Billable — Valid for Submission
- Chronic Condition
M54.30 is a billable ICD-10-CM diagnosis code for sciatica, unspecified side. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 551 through 552. Coders also document this condition as acute sciatica. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Low back pain and Spondylopathies/spondyloarthropathy (including infective).
This medical diagnosis code is frequently used in Orthopedics and Orthopedics medical specialties to designate conditions such neck and back pain.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Acute sciatica
- Chronic sciatica
- Putti-Chavany syndrome
- Sciatica
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Sciatica
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.
Patient EducationClinical
Sciatica
Sciatica is a symptom of a problem with the sciatic nerve, the largest nerve in the body. 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.
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Convert M54.30 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About M54.30Overview
Is M54.30 (Sciatica) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report sciatica, unspecified side on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does M54.30 group to?
When sciatica, unspecified side is the principal diagnosis on an inpatient stay, it groups to MS-DRG 551, 552, with relative weights from 0.9613 to 1.6761 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of M54.30?
Under the General Equivalence Mappings, sciatica, unspecified side converts to ICD-9-CM 724.3 (sciatica). The mapping is approximate, so confirm the match fits the documentation.
Footnotes
[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:
- The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
- The condition places limitations on self-care, independent living, and social interactions.
