M54.5
Low back pain
Diseases of the musculoskeletal system and connective tissue Billable
Quick Reference
Pain localized to lumbar or lumbosacral region without radiculopathy
Clinical Information
When to Use This Code
Pain localized to lumbar or lumbosacral region without radiculopathy
Common Clinical Scenarios
- Acute low back strain or sprain
- Chronic mechanical low back pain
- Non-specific lower back pain
- Back pain after lifting or physical activity
Documentation Requirements
- Specify location (lumbar, lumbosacral)
- Document acute vs. chronic (>12 weeks)
- Note radiation to legs if present (use M54.16 for radiculopathy)
- Record aggravating/alleviating factors and functional impact
Coding Guidelines
Inclusion Terms
These terms are included in this code:
LumbagoLow back painLumbar painLower back pain
Exclusion Terms
Do NOT use this code for:
- Sciatica with lumbago (M54.4-)
- Low back pain with radiculopathy (M54.16)
- Pain due to intervertebral disc disorder (M51.-)
Coding Notes
Most common musculoskeletal diagnosis code
Use M54.16 if radiculopathy present
Code underlying disc disease separately if identified
Related ICD-10 Codes
Consider these related codes based on patient presentation:
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Code
M54.5
Category
Diseases of the musculoskeletal system and connective tissue
Billable Status
Billable
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