M54 Dorsalgia

⚠ Non-Billable ICD-10-CM 2026
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The ICD-10-CM code for Dorsalgia is M54 (FY2026). It is a non-billable category code — select a more specific code below for claims.

Classification

Section
M50-M54: Other dorsopathies (M50-M54)
Category M54
40 codes (33 billable)
FY2026 Status
Stable since FY2024
Excludes1
Not coded here. These conditions should NOT be coded together with M54.
  • psychogenic dorsalgia (F45.41)

Official Coding Guidelines

Osteoporosis without pathological fracture (M81)

Category M81, Osteoporosis without current pathological fracture, is for use for patients with osteoporosis who do not currently have a pathologic fracture due to the osteoporosis, even if they have had a fracture in the past. For patients with a history of osteoporosis fractures, status code Z87.310, Personal history of (healed) osteoporosis fracture, should follow the code from M81.

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.13.d.1
Osteoporosis with current pathological fracture (M80)

Category M80, Osteoporosis with current pathological fracture, is for patients who have a current pathologic fracture at the time of an encounter. The codes under M80 identify the site of the fracture. A code from category M80, not a traumatic fracture code, should be used for any patient with known osteoporosis who suffers a fracture, even if the patient had a minor fall or trauma, if that fall or trauma would not usually break a normal, healthy bone.

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.13.d.2

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

Related Codes

More Specific Codes

M54.0 Panniculitis affecting regions of neck and back M54.00 Panniculitis affecting regions of neck and back, site unspecified M54.01 Panniculitis affecting regions of neck and back, occipito-atlanto-axial region M54.02 Panniculitis affecting regions of neck and back, cervical region M54.03 Panniculitis affecting regions of neck and back, cervicothoracic region M54.04 Panniculitis affecting regions of neck and back, thoracic region M54.05 Panniculitis affecting regions of neck and back, thoracolumbar region M54.06 Panniculitis affecting regions of neck and back, lumbar region M54.07 Panniculitis affecting regions of neck and back, lumbosacral region M54.08 Panniculitis affecting regions of neck and back, sacral and sacrococcygeal region M54.09 Panniculitis affecting regions, neck and back, multiple sites in spine M54.1 Radiculopathy M54.10 Radiculopathy, site unspecified M54.11 Radiculopathy, occipito-atlanto-axial region M54.12 Radiculopathy, cervical region M54.13 Radiculopathy, cervicothoracic region M54.14 Radiculopathy, thoracic region M54.15 Radiculopathy, thoracolumbar region M54.16 Radiculopathy, lumbar region M54.17 Radiculopathy, lumbosacral region M54.18 Radiculopathy, sacral and sacrococcygeal region M54.2 Cervicalgia M54.3 Sciatica M54.30 Sciatica, unspecified side M54.31 Sciatica, right side M54.32 Sciatica, left side M54.4 Lumbago with sciatica M54.40 Lumbago with sciatica, unspecified side M54.41 Lumbago with sciatica, right side M54.42 Lumbago with sciatica, left side

Related Codes in M54

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Reviewed by Prajwal Shrestha, CPC, CRC
Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) · AAPC Member ID 01997614 · About · Editorial policy · Content last reviewed: 2025-10-01

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