M54.41

Lumbago with sciatica, right side

Billable code

This code does not map to a risk-adjusting HCC in the loaded models.

Coding notes

Excludes 1 never coded together · Excludes 2 may co-exist

Inherited from M54.4Lumbago with sciatica
Excludes 1

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-)

Inherited from M54Dorsalgia
Excludes 1

psychogenic dorsalgia (F45.41)

Inherited from M50-M54Other dorsopathies
Excludes 1

current injury - see injury of spine by body region discitis NOS (M46.4-)

Inherited from chapter 13Diseases of the musculoskeletal system and connective tissue
Excludes 2

arthropathic psoriasis (L40.5-) certain conditions originating in the perinatal period (P04-P96) certain infectious and parasitic diseases (A00-B99) compartment syndrome (traumatic) (T79.A-) complications of pregnancy, childbirth and the puerperium (O00-O9A) congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99) endocrine, nutritional and metabolic diseases (E00-E88) injury, poisoning and certain other consequences of external causes (S00-T88) neoplasms (C00-D49) symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Note

Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition (M00-M25) Arthropathies (M00-M25) Includes: Disorders affecting predominantly peripheral (limb) joints (M40-M54) Dorsopathies (M40-M54) (M60-M79) Soft tissue disorders (M60-M79) (M80-M94) Osteopathies and chondropathies (M80-M94)

Official Guidelines for M54.41

FY 2026 ›

Sections that reference M54.41

Sections whose FY 2026 text names M54.41, its M54 category, or a range containing it — the chapter guidance above is the authoritative source.