AutoICD API

M54.3

Non-billable

Sciatica

Sciatica

This is a header/category code. For billing purposes, use a more specific child code from the list below.

Status

Non-billable / Header

Block

M50-M54

Parent Code

M54

Child Codes

3

Coding Notes

Excludes 1

Codes that cannot be used together with this code (mutual exclusion)

  • current injury - see injury of spine by body region
  • discitis NOS (M46.4-)
  • psychogenic dorsalgia (F45.41)
  • intervertebral disc degeneration, lumbar region with lower extremity pain only (M51.361)
  • intervertebral disc degeneration, lumbosacral region with lower extremity pain only (M51.371)
  • lesion of sciatic nerve (G57.0)
  • sciatica due to intervertebral disc disorder (M51.1-)
  • sciatica with lumbago (M54.4-)

Excludes 2

Conditions not included here, but the patient may have both

  • 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)

Child Codes (3)

M54.30

Sciatica, unspecified side

BillableM54.31

Sciatica, right side

BillableM54.32

Sciatica, left side

Billable

Also Known As / Clinical Terms

UMLS

Frequently Asked Questions

What is ICD-10 code M54.3?

ICD-10-CM code M54.3 represents "Sciatica". It is a non-billable header code — use a more specific child code for billing purposes.

Is M54.3 a billable code?

No, M54.3 is a non-billable header code. You need to use one of its more specific child codes for billing. There are 3 child codes under M54.3.

What chapter is M54.3 in?

M54.3 is in Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (codes M00-M99).

What codes cannot be used with M54.3?

M54.3 has Excludes1 notes indicating codes that cannot be used together with it, including: current injury - see injury of spine by body region; discitis NOS (M46.4-); psychogenic dorsalgia (F45.41); and 5 more.

What are the subcategories under M54.3?

M54.3 has 3 child codes, including: M54.30 (Sciatica, unspecified side), M54.31 (Sciatica, right side), M54.32 (Sciatica, left side).

What are the UMLS CUIs for M54.3?

M54.3 is linked to 1 UMLS Concept Unique Identifier: C0036396. The UMLS (Unified Medical Language System) integrates multiple biomedical vocabularies maintained by the U.S. National Library of Medicine.

Automate ICD-10 Coding With AI

Send clinical text to the AutoICD API and get back structured ICD-10 codes with confidence scores. Integrates into any EHR or billing system in minutes.

Try FreeView API Docs

Includes SNOMED Clinical Terms® (SNOMED CT®) used by permission of SNOMED International. Includes content from the UMLS Metathesaurus, courtesy of the U.S. National Library of Medicine.