M54.5 - Low back pain

  • Applicable to Low back pain
  • The 2025 edition of ICD10-CM M54.5 became effective on October 1, 2024.
  • This is the American ICD10-CM version of M54.5 - other international versions of ICD10 M54.5 may differ.
  • M54.5 is a Non-Billable / Non-Specific ICD10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • M54.5 Code should not be used for billing or reimbursement purposes as there are multiple ICD-10 CM codes below it that contain a greater level of detail.
  • M54.5 - Low back pain
    • M54.5 - Low back pain
    • M54.50 - Low back pain, unspecified
    • M54.51 - Vertebrogenic low back pain
    • M54.59 - Other low back pain

Type 1 Excludes

  • intervertebral disc degeneration, lumbar region with discogenic back pain only (M51.360)
  • intervertebral disc degeneration, lumbosacral region with discogenic back pain only (M51.370)
  • low back strain (S39.012)
  • lumbago due to intervertebral disc displacement (M51.2-)
  • lumbago with sciatica (M54.4-)

The following codes above M54.5 contain annotation back-references that may be applicable to M54.5:

Chapter: M00-M99 Diseases of the musculoskeletal system and connective tissue

Section: M50-M54 Other dorsopathies

Category: M54 Dorsalgia

 
Non-Billable/Non-Specific Code

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