M54

Non-Billable

ChapterM00–M99

Rankcategory

Official Description

Dorsalgia

Use a more specific code (3 billable, 6 non-billable)

Metadata & Insights

•Non-billable category (requires more specific sub-code).
•Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (M00-M99).

Excludes2(Not included here. Code separately if applicable.)

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)

Excludes1(Not coded here. Use a different code.)

Excludes1(Not coded here. Use a different code.)

BillableHas subcodes

CH13Diseases of the musculoskeletal system and connective tissue (M00-M99)

M50-M54Other dorsopathies (M50-M54)

M54DorsalgiaNot billable

M54.0Panniculitis affecting regions of neck and backSubcodes

M54.1RadiculopathySubcodes

M54.2CervicalgiaBillable

M54.3SciaticaSubcodes

M54.4Lumbago with sciaticaSubcodes

M54.5Low back painSubcodes

M54.6Pain in thoracic spineBillable

M54.8Other dorsalgiaSubcodes

M54.9Dorsalgia, unspecifiedBillable

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

Other dorsopathies (M50-M54)

chapterCH13

Diseases of the musculoskeletal system and connective tissue (M00-M99)

2026

No direct MS-DRG triggers identified.

Find surgical and procedural codes related to Dorsalgia.