M54.5

Non-billable

Low back pain

M54.5 is the ICD-10-CM code for Low back pain. It is a non-billable category code — use a more specific child code such as M54.50 for billing.

Status
Header (non-billable)
Chapter
M00-M99
Parent
M54
Subcodes
3
Edition
FY2026

M00-M99 Diseases of the musculoskeletal system and connective tissue

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-)

Frequently asked questions

What is ICD-10 code M54.5?
M54.5 is the ICD-10-CM code for "Low back pain". It falls under M00-M99 Diseases of the musculoskeletal system and connective tissue.
Is M54.5 a billable code?
No — M54.5 is a non-billable header code. Use a more specific child code (such as M54.50) for billing.
What are the subcodes of M54.5?
M54.5 has 3 more specific child codes, including M54.50, M54.51, M54.59.
What is excluded from M54.5?
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-).

Source: CMS ICD-10-CM FY2026. For informational purposes only — not medical advice. See our medical disclaimer.

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