M54.5

Non-Billable
ChapterM00–M99
Ranksubcategory
Official Description

Low back pain

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 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-)
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
M54.5Low back pain
M54.50Low back pain, unspecified
M54.51Vertebrogenic low back pain
M54.59Other low back pain

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to M54.5:

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 M54.5. Use them as entry terms for search, then confirm final coding instructions in the Tabular List and notes above.

14 raw paths

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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