M54.4 – Lumbago with sciatica

ICD-10-CM 2027 diagnosis code · Other dorsopathies

Non-billable header

ICD-10-CM code M54.4

Code: M54.4 (claims format: M544)
Description: Lumbago with sciatica
Billable: No – use a more specific code below
Valid for: Dates of service October 1, 2026 – September 30, 2027 (FY2027)
Chapter: 13. Diseases of the musculoskeletal system and connective tissue (M00-M99)
Block: M50-M54 Other dorsopathies
Parent codes: M54

Billable codes under M54.4

M54.4 is a header code and cannot be used on claims. Choose the most specific code:

M54.40 – Lumbago with sciatica, unspecified sideBillable
M54.41 – Lumbago with sciatica, right sideBillable
M54.42 – Lumbago with sciatica, left sideBillable

Notes for M54.4

Excludes1 (not coded here):

intervertebral disc degeneration, lumbar region with discogenic back pain and lower extremity pain (M51.362)
intervertebral disc degeneration, lumbosacral region with discogenic back pain and lower extremity pain (M51.372)
lumbago with sciatica due to intervertebral disc disorder (M51.1-)

Notes inherited from parent codes

Instructional notes at a category or block level apply to every code below it.

M54 – Dorsalgia

Excludes1 (not coded here):

psychogenic dorsalgia (F45.41)

Block M50-M54

Excludes1 (not coded here):

current injury - see injury of spine by body region
discitis NOS (M46.4-)

Index terms for M54.4

Entries in the ICD-10-CM alphabetic index that lead to this code:

Related codes in M54

M54.0 – Panniculitis affecting regions of neck and backHeader
M54.1 – RadiculopathyHeader
M54.2 – CervicalgiaBillable
M54.3 – SciaticaHeader
M54.5 – Low back painHeader
M54.6 – Pain in thoracic spineBillable
M54.8 – Other dorsalgiaHeader
M54.9 – Dorsalgia, unspecifiedBillable

Frequently asked questions

What is ICD-10 code M54.4?

M54.4 is the ICD-10-CM code for lumbago with sciatica, in the block M50-M54 (Other dorsopathies).

Is M54.4 a billable code?

No. M54.4 is a header code with more specific child codes; report one of the billable codes listed above.

What category does M54.4 belong to?

It belongs to category M54 – Dorsalgia.

Source: CDC/NCHS ICD-10-CM FY2027 code files, tabular list and index. Reference only – code assignment must follow the official ICD-10-CM guidelines and documentation in the medical record.