ICD-10-CM Code M54.51
Vertebrogenic low back pain
Diagnosis information
Billable
Yes
Valid for claim submission
Chapter
M00–M99
Diseases of the musculoskeletal system
Risk adjustment
None
Not risk-adjustable (V28)
More codes in the M54 category
Other billable ICD-10-CM codes in the same category as M54.51. Coding to the highest specificity the documentation supports is what keeps a claim clean — pick the child code that most precisely matches the diagnosis.
- M54.00Panniculitis affecting regions of neck and back, site unspecified
- M54.01Panniculitis affecting regions of neck and back, occipito-atlanto-axial region
- M54.02Panniculitis affecting regions of neck and back, cervical region
- M54.03Panniculitis affecting regions of neck and back, cervicothoracic region
- M54.04Panniculitis affecting regions of neck and back, thoracic region
- M54.05Panniculitis affecting regions of neck and back, thoracolumbar region
- M54.06Panniculitis affecting regions of neck and back, lumbar region
- M54.07Panniculitis affecting regions of neck and back, lumbosacral region
- M54.08Panniculitis affecting regions of neck and back, sacral and sacrococcygeal region
- M54.09Panniculitis affecting regions, neck and back, multiple sites in spine
- M54.10Radiculopathy, site unspecified
- M54.11Radiculopathy, occipito-atlanto-axial region
Documentation & coding notes
- M54.51 is a billable/specific ICD-10-CM code — it can be reported as a primary or secondary diagnosis when the documentation supports it. Code to the highest level of specificity the record allows.
- Always verify the code against the current ICD-10-CM Official Guidelines and the payer's coverage policy before submitting — coverage, medical necessity edits, and sequencing rules vary by payer.
Related M00–M99 codes
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Medical coding disclaimer
ICD-10-CM codes and descriptions shown are from the CMS FY2026 official code set and HCC mappings from the CMS-HCC V28 model (payment year 2026), shown for educational reference. Official Guidelines, payer coverage, medical-necessity edits, and sequencing rules vary. Always verify with the current ICD-10-CM Official Guidelines and the payer before submitting claims. D3rx is not responsible for coding or billing outcomes.