M54.51

Vertebrogenic low back pain

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

BillableComplete code, valid to report

M54.51 (also written M5451) is a billable ICD-10-CM diagnosis code for vertebrogenic low back pain. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 33 codes in category M54 (Dorsalgia). The Alphabetic Index lists it under 6 entries. Its coding notes include 8 Excludes1 entries and 10 Excludes2 entries.

Excludes1

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

Inherited from M54.5 Low back pain
  • 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-)
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)

Inclusion terms

Conditions classified to this code.

This code
  • Low back vertebral endplate pain

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. 6 entries