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Compare/M54 vs R10

M54 vs R10

M54 (Dorsalgia) compared with R10 (Abdominal and pelvic pain), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. R10 carries an Excludes2 note covering M54: “dorsalgia (M54.-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

M54DorsalgiaR10Abdominal and pelvic pain
Billing statusNon-billable header

Report instead: M54.00, M54.01, M54.02, M54.03, M54.04

Non-billable header

Report instead: R10.0, R10.10, R10.11, R10.12, R10.13

ClassificationM00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99)
DefinitionDorsalgia is a non-billable ICD-10-CM category code (M54).Abdominal and pelvic pain is a non-billable ICD-10-CM category code (R10).
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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources