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M54.32027

Non-billable

Sciatica

M54.3 is a non-billable ICD-10-CM category (header) code for Sciatica; a more specific code below it is required for claims in the FY2027 code set.

Clinical Notes

  • 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-)
From M54
  • Psychogenic dorsalgia (F45.41)
From M50-M54
  • Current injury - see injury of spine by body region
  • Discitis NOS (M46.4-)

Frequently Asked Questions

Code Hierarchy
Dorsalgia
Panniculitis affecting regions of neck and back
Radiculopathy
Cervicalgia
M54.3
Sciatica
Lumbago with sciatica
Low back pain
Pain in thoracic spine
Other dorsalgia
Dorsalgia, unspecified

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Related MS-DRGs
182,022 Medicare hospitalizations across 2 DRGs for codes in M54.3

Top DRGs associated with codes in this category:

552MEDICAL BACK PROBLEMS WITHOUT MCC138,582
551MEDICAL BACK PROBLEMS WITH MCC43,440
Official Guidelines
Chapter 13: Diseases of the Musculoskeletal System

Official coding guidelines for M00-M99

Sciatica - ICD-10-CM Code M54.3 2027 | FindICD10