M54.59

Other low back pain

Billable / specific

M54.59 is a billable, specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes in FY2027.

Inclusion terms

Includes (from M54)

  • Note: Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition

Excludes1

Not coded here — never report together with this code.

  • intervertebral disc degeneration, lumbar region with discogenic back pain only (M51.360) (from M54.5)
  • intervertebral disc degeneration, lumbosacral region with discogenic back pain only (M51.370) (from M54.5)
  • low back strain (S39.012) (from M54.5)
  • lumbago due to intervertebral disc displacement (M51.2-) (from M54.5)
  • lumbago with sciatica (M54.4-) (from M54.5)
  • current injury - see injury of spine by body region (from M54)
  • discitis NOS (M46.4-) (from M54)
  • psychogenic dorsalgia (F45.41) (from M54)

Excludes2

Not included here — may be reported together when both conditions exist.

  • arthropathic psoriasis (L40.5-) (from M54)
  • certain conditions originating in the perinatal period (P04-P96) (from M54)
  • certain infectious and parasitic diseases (A00-B99) (from M54)
  • compartment syndrome (traumatic) (T79.A-) (from M54)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A) (from M54)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99) (from M54)
  • endocrine, nutritional and metabolic diseases (E00-E88) (from M54)
  • injury, poisoning and certain other consequences of external causes (S00-T88) (from M54)
  • neoplasms (C00-D49) (from M54)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94) (from M54)

Also known as

  • Pain, low back, specified NEC

Parent code

Related codes

  • M54.50Low back pain, unspecifiedBillable
  • M54.51Vertebrogenic low back painBillable

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