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ICD-10-CM Code M54.5
Low back pain

Billable Code
Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.
| ICD-10 from 2011 - 2016

M54.5 is a billable ICD code used to specify a diagnosis of low back pain. A 'billable code' is detailed enough to be used to specify a medical diagnosis.

The ICD code M545 is used to code Low back pain

Low back pain (LBP), also known as lower back pain or lumbago, (/lʌmˈbeɪɡoʊ/) is a common disorder involving the muscles and bones of the back. It affects about 40% of people at some point in their lives. Low back pain may be classified by duration as acute (pain lasting less than 6 weeks), sub-chronic (6 to 12 weeks), or chronic (more than 12 weeks). The condition may be further classified by the underlying cause as either mechanical, non-mechanical, or referred pain.

Specialty: Orthopedics, Rheumatology
MeSH Code: D017116
ICD 9 Code: 724.2

Low back pain is a common and costly complaint.

Source: Wikipedia

Coding Notes for M54.5 Info for medical coders on how to properly use this ICD-10 code

Inclusion Terms:
Inclusion Terms
Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive.
Loin pain
Lumbago NOS
Code Type-1 Excludes:
Type-1 Excludes
Type-1 Excludes mean the conditions excluded are mutually exclusive and should never be coded together. Excludes 1 means "do not code here."
Low back strain - instead, use code S39.012
Lumbago due to intervertebral disc displacement - instead, use code M51.2-
Lumbago with sciatica - instead, use code M54.4-

MS-DRG Mapping

  • DRG Group #551-552 - Medical back problems with MCC.
  • DRG Group #551-552 - Medical back problems without MCC.

ICD-10-CM Alphabetical Index References for 'M54.5 - Low back pain'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code M54.5. Click on any term below to browse the alphabetical index.

Lumbago, lumbalgia (M54.5)


Lumbago (exact match)

This is the official exact match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that in all cases where the ICD9 code 724.2 was previously used, M54.5 is the appropriate modern ICD10 code.

Parent Code: M54 - Dorsalgia

** This Document Provided By ICD.Codes **
Source: http://icd.codes/icd10cm/M545