Back Pain ICD-10 Codes

All ICD-10-CM diagnosis codes for back pain

low back painlumbagolumbar painbackachesciaticaherniated disc

Back pain is one of the most common reasons for medical visits. The primary ICD-10 code for low back pain is M54.5 (now M54.50-M54.59 for laterality). Sciatica is coded as M54.3, and lumbar disc disorders use M51 codes. Radiculopathy is coded under M54.1.

Total Codes

287

Billable Codes

233

Categories

4

Primary Code Categories

These are the top-level ICD-10-CM categories for back pain. Click any code to see all specific subcodes.

Billable/Specific Codes (233)

These are the specific, billable ICD-10-CM codes that can be used on medical claims for back pain.

M47.011

Anterior spinal artery comprsn synd, occipt-atlan-ax region

Billable
M47.012

Anterior spinal artery comprsn syndromes, cervical region

Billable
M47.013

Anterior spinal artery comprsn syndromes, cervicothor region

Billable
M47.014

Anterior spinal artery comprsn syndromes, thoracic region

Billable
M47.015

Anterior spinal artery comprsn syndromes, thoracolum region

Billable
M47.016

Anterior spinal artery compression syndromes, lumbar region

Billable
M47.019

Anterior spinal artery compression syndromes, site unsp

Billable
M47.021

Verteb art compression syndromes, occipt-atlan-ax region

Billable
M47.022

Vertebral artery compression syndromes, cervical region

Billable
M47.029

Vertebral artery compression syndromes, site unspecified

Billable
M47.10

Other spondylosis with myelopathy, site unspecified

Billable
M47.11

Oth spondylosis w myelopathy, occipito-atlanto-axial region

Billable
M47.12

Other spondylosis with myelopathy, cervical region

Billable
M47.13

Other spondylosis with myelopathy, cervicothoracic region

Billable
M47.14

Other spondylosis with myelopathy, thoracic region

Billable
M47.15

Other spondylosis with myelopathy, thoracolumbar region

Billable
M47.16

Other spondylosis with myelopathy, lumbar region

Billable
M47.20

Other spondylosis with radiculopathy, site unspecified

Billable
M47.21

Oth spondylosis w radiculopathy, occipt-atlan-ax region

Billable
M47.22

Other spondylosis with radiculopathy, cervical region

Billable
M47.23

Other spondylosis with radiculopathy, cervicothoracic region

Billable
M47.24

Other spondylosis with radiculopathy, thoracic region

Billable
M47.25

Other spondylosis with radiculopathy, thoracolumbar region

Billable
M47.26

Other spondylosis with radiculopathy, lumbar region

Billable
M47.27

Other spondylosis with radiculopathy, lumbosacral region

Billable
M47.28

Oth spondylosis w radiculopathy, sacr/sacrocygl region

Billable
M47.811

Spondyls w/o myelpath or radiculopathy, occipt-atlan-ax rgn

Billable
M47.812

Spondylosis w/o myelopathy or radiculopathy, cervical region

Billable
M47.813

Spondyls w/o myelopathy or radiculopathy, cervicothor region

Billable
M47.814

Spondylosis w/o myelopathy or radiculopathy, thoracic region

Billable
M47.815

Spondyls w/o myelopathy or radiculopathy, thoracolum region

Billable
M47.816

Spondylosis w/o myelopathy or radiculopathy, lumbar region

Billable
M47.817

Spondyls w/o myelopathy or radiculopathy, lumbosacr region

Billable
M47.818

Spondyls w/o myelpath or radiculopathy, sacr/sacrocygl rgn

Billable
M47.819

Spondylosis without myelopathy or radiculopathy, site unsp

Billable
M47.891

Other spondylosis, occipito-atlanto-axial region

Billable
M47.892

Other spondylosis, cervical region

Billable
M47.893

Other spondylosis, cervicothoracic region

Billable
M47.894

Other spondylosis, thoracic region

Billable
M47.895

Other spondylosis, thoracolumbar region

Billable
M47.896

Other spondylosis, lumbar region

Billable
M47.897

Other spondylosis, lumbosacral region

Billable
M47.898

Other spondylosis, sacral and sacrococcygeal region

Billable
M47.899

Other spondylosis, site unspecified

Billable
M47.9

Spondylosis, unspecified

Billable
M48.00

Spinal stenosis, site unspecified

Billable
M48.01

Spinal stenosis, occipito-atlanto-axial region

Billable
M48.02

Spinal stenosis, cervical region

Billable
M48.03

Spinal stenosis, cervicothoracic region

Billable
M48.04

Spinal stenosis, thoracic region

Billable

...and 183 more specific codes. Search all codes

Frequently Asked Questions

What is the ICD-10 code for low back pain?

The primary ICD-10-CM codes for back pain are M54.5, M54.50, M54.3. There are 287 total codes related to back pain, of which 233 are billable/specific codes that can be used on medical claims.

How many ICD-10 codes are there for back pain?

There are 287 ICD-10-CM codes related to back pain. Of these, 233 are billable/specific codes. The remaining codes are non-billable header categories used to organize the specific codes underneath them.

Which back pain ICD-10 code should I use for billing?

The most commonly used billable codes for back pain include: M47.011 (Anterior spinal artery comprsn synd, occipt-atlan-ax region); M47.012 (Anterior spinal artery comprsn syndromes, cervical region); M47.013 (Anterior spinal artery comprsn syndromes, cervicothor region). The correct code depends on the specific clinical presentation. Always code to the highest level of specificity supported by the clinical documentation.

Is M54.5 a billable ICD-10 code?

No, M54.5 (Low back pain) is a non-billable header code. You need to use a more specific child code for billing purposes.

What are other names for back pain in ICD-10?

Back Pain may also be referred to as: low back pain, lumbago, lumbar pain, backache, sciatica, herniated disc. The same ICD-10-CM codes apply regardless of which term is used in the clinical documentation.

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