M54
M54: Dorsalgia
Non-billable headerICD-10-CM
M54 is a non-billable header ICD-10-CM code for dorsalgia. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- psychogenic dorsalgia (F45.41)
Other codes that can never be billed with M54
Their own Excludes1 notes name this code, so the conflict is not listed above.
- G54Nerve root and plexus disorders
- G55Nerve root and plexus compressions in diseases classified elsewhere
- G57.0Lesion of sciatic nerve
- L95Vasculitis limited to skin, not elsewhere classified
- M51.1Thoracic, thoracolumbar and lumbosacral intervertebral disc disorders with radiculopathy
- M54.3Sciatica
- M54.5Low back pain
- M54.8Other dorsalgia
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
The condition this code belongs to
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead M54
9 child codes. Green means billable.