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M54.5
Non-billable

Low back pain

Chapter 13: Diseases of the musculoskeletal system and connective tissue

Excludes1

5 items
  • 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-)

Coding Guidance

M54.5 should not be used for reimbursement purposes as there are more specific codes below it that contain a greater level of detail. See Related Codes to drill down to more specific billable codes for appropriate reimbursement.

Referenced in Diagnoses

Conditions that use this ICD-10 code in their documentation

View documentation for acute on chronic back pain
acute on chronic back pain
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Acute on Chronic Back Pain

View documentation for arthritis back
arthritis back
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Spondylosis and Osteoarthritis of the Spine

View documentation for back pain pregnancy
back pain pregnancy
View Templates

Pregnancy-related low back pain

View documentation for chiropractic
chiropractic
View Templates

Chiropractic Subluxation

View documentation for disc bulge
disc bulge
View Templates

Intervertebral Disc Bulge

View documentation for lower back muscle spasm
lower back muscle spasm
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Muscle Spasm of Back

View documentation for musculoskeletal pain
musculoskeletal pain
View Templates

Musculoskeletal Pain

View documentation for pain left thigh
pain left thigh
View Templates

M79.652 - Pain in left thigh

Additional Information from Parent Codes

The following information may apply to this code from its parent codes in the ICD-10 hierarchy. This information is important for proper coding and classification.

Parent Codes Referenced:

Excludes1

1 item

From M54:

  • psychogenic dorsalgia (F45.41)

Excludes2

10 items

From M00-M99:

  • 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

1 item

From M00-M99:

  • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
Ask about any ICD-10 CM code, or paste a medical note

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