M54.4

Non-Billable
ChapterM00–M99
Ranksubcategory
Official Description

Lumbago with sciatica

Metadata & Insights
  • 2026 ICD-10-CM Edition - Effective October 1, 2025.
  • Non-billable category (requires more specific sub-code).
  • Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (M00-M99).

Instructional Notes

Excludes1(Not coded here)
  • intervertebral disc degeneration, lumbar region with discogenic back pain and lower extremity pain (M51.362)
  • intervertebral disc degeneration, lumbosacral region with discogenic back pain and lower extremity pain (M51.372)
  • lumbago with sciatica due to intervertebral disc disorder (M51.1-)
General instructions are available for the parent sections:

Clinical Hierarchy

CH13Diseases of the musculoskeletal system and connective tissue (M00-M99)
M50-M54Other dorsopathies (M50-M54)
M54Dorsalgia
M54.4Lumbago with sciatica
M54.40Lumbago with sciatica, unspecified side
M54.41Lumbago with sciatica, right side
M54.42Lumbago with sciatica, left side

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to M54.4:

blockM50-M54
Other dorsopathies (M50-M54)
View context instructions
chapterCH13
Diseases of the musculoskeletal system and connective tissue (M00-M99)
View context instructions

Alphabetic Index Mentions

These are Diagnosis Index lookup paths that route to M54.4. Use them as entry terms for search, then confirm final coding instructions in the Tabular List and notes above.

5 raw paths

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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