Lumbago with sciatica
Lumbago with sciatica
M54.4 is a header (parent) code in the ICD-10-CM hierarchy. It is not billable for claim submission. Use one of the billable child codes listed below.
Billable codes in this category
Each of the codes below is billable. Choose the one that most accurately describes the patient's diagnosis.
Low back pain occurring together with sciatic nerve pain radiating into the lower extremity, where the affected side (right or left) is not documented in the clinical record.
Lower back pain occurring concurrently with right-sided sciatic nerve pain radiating into the right lower extremity, classified under dorsalgia in the musculoskeletal chapter.
M54.42 identifies low back pain (lumbago) occurring together with left-sided sciatic nerve pain — radiating down the left leg along the sciatic nerve distribution — without an identified intervertebral disc disorder as the cause.
Inclusion & exclusion notes
Excludes 1 (mutually exclusive — never code together)
- 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-)