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M54.5 Non-Billable Code

Low back pain

Effective From: 10/01/2016
Effective To: 09/30/2021
⚠️

This Code Has Been Retired

Code M54.5 is no longer valid for claims submission as of 09/30/2021.

Chapter Classification

Chapter 13 Diseases of the musculoskeletal system and connective tissue (M00-M99)

Section Detail

M50-M54 Other dorsopathies (M50-M54)

Code Hierarchy

This code is a child of M54.

As a non-billable code, it requires more specific digits to be used on a medical claim.

Coding Guidelines & Notes

excludes1
  • 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-)

More Specific Diagnosis Codes

This code is not billable as it requires a higher level of specificity. Select a more specific code below.

  • M54.50 - Low back pain, unspecified Billable
  • M54.51 - Vertebrogenic low back pain Billable
  • M54.59 - Other low back pain Billable

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