M54.4

Lumbago with sciatica

FY2027Chapter 13: Diseases of the musculoskeletal system and connective tissue/M50–M54 Other dorsopathies

Non-billable headerNot valid on its own. Use one of the more specific codes under it.

M54.4 is a non-billable ICD-10-CM code header for lumbago with sciatica. Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. The more specific codes under it are M54.40 Lumbago with sciatica, unspecified side; M54.41 Lumbago with sciatica, right side and M54.42 Lumbago with sciatica, left side. Its coding notes include 6 Excludes1 entries and 10 Excludes2 entries.

Excludes1

Not coded here. The listed conditions generally should not be reported together.

This code
  • intervertebral disc degeneration, lumbar region with discogenic back pain and lower extremity pain (M51.362)
  • intervertebral disc degeneration, lumbosacral region with discogenic back pain and lower extremity pain (M51.372)
  • lumbago with sciatica due to intervertebral disc disorder (M51.1-)
Inherited from M54 Dorsalgia
  • psychogenic dorsalgia (F45.41)
Also from chapter/block level (2 notes)
Inherited from M50–M54 Other dorsopathies
  • current injury - see injury of spine by body region
  • discitis NOS (M46.4-)

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Also from chapter/block level (10 notes)
Inherited from Chapter 13 Diseases of the musculoskeletal system and connective tissue
  • arthropathic psoriasis (L40.5-)
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • compartment syndrome (traumatic) (T79.A-)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Notes

Also from chapter/block level (1 note)
Inherited from Chapter 13 Diseases of the musculoskeletal system and connective tissue
  • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition

Alphabetic Index terms

Terms the official Alphabetic Index lists for this code. 5 entries

More specific codes under M54.4 3