ICD-10-CM › M00-M99 › M50-M54 › M54 Dorsalgia › M54.4

M54.4

Lumbago with sciatica

Not billableICD-10-CM diagnosis code.

This code exists but cannot be submitted on its own. It groups the more specific codes beneath it.

A category header for its whole life, FY2016 onwards. It has never been valid for submission on its own.

Submit one of these 3 more specific codes instead:

  • M54.40 Lumbago with sciatica, unspecified side
  • M54.41 Lumbago with sciatica, right side
  • M54.42 Lumbago with sciatica, left side

What has happened to this code

Every change the publisher made, from 2012 to now. Entries marked draft are from the pre-implementation releases: ICD-10 took effect on 1 October 2015, so nothing before FY2016 was ever valid on a claim.

  1. FY2012 Added to the draft code set draft Lumbago with sciatica

Official coding rules

Published by CDC for FY2027. A rule attached to a category binds every code beneath it, so the rules inherited from this code's ancestors are shown with the code they come from.

Inherited from M54 Dorsalgia

Excludes1 - never coded here

  • psychogenic dorsalgia (F45.41)

Inherited from the M50-M54 section Other dorsopathies (M50-M54)

Excludes1 - never coded here

  • current injury - see injury of spine by body region
  • discitis NOS (M46.4-)

How CDC's index refers to this code

Wording from the official alphabetic index. Much of it appears nowhere in the code description, which is why a search for the everyday phrase so often finds nothing.

Codes in the same group

CodeDescriptionStatus
M54.0 Panniculitis affecting regions of neck and back Not billable
M54.1 Radiculopathy Not billable
M54.2 Cervicalgia Valid
M54.3 Sciatica Not billable
M54.5 Low back pain Not billable
M54.6 Pain in thoracic spine Valid
M54.8 Other dorsalgia Not billable
M54.9 Dorsalgia, unspecified Valid