M51.362 vs M54.4
M51.362 (Other intervertebral disc degeneration, lumbar region with discogenic back pain and lower extremity pain) compared with M54.4 (Lumbago with sciatica), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. M54.4 carries an Excludes1 note covering M51.362: “intervertebral disc degeneration, lumbar region with discogenic back pain and lower extremity pain (M51.362)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| M51.362Other intervertebral disc degeneration, lumbar region with discogenic back pain and lower extremity pain | M54.4Lumbago with sciatica | |
|---|---|---|
| Billing status | Billable | Non-billable header |
| Classification | M00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99) | M00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99) |
| Definition | Other intervertebral disc degeneration, lumbar region with discogenic back pain and lower extremity pain is a billable ICD-10-CM diagnosis code (M51.362). | Lumbago with sciatica is a non-billable ICD-10-CM category code (M54.4). |
| Includes | Other intervertebral disc degeneration, lumbar region with discogenic back pain and leg pain Other intervertebral disc degeneration, lumbar region with axial back pain and referred sclerotomal pain | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources