ICD-10-CM 2027
ICD-10 code for Vertebrogenic pain
From the official ICD-10-CM alphabetic index entry “Pain (s) › vertebrogenic”. Page updated September 29, 2026.
About coding Vertebrogenic pain
The ICD-10-CM code for Vertebrogenic pain is M54.89 (Other dorsalgia). The official index lists 3 more specific codes, so check the documentation for details such as type, cause, site or severity before settling on M54.89.
Within M54.8, choose M54.89 (Other dorsalgia) only when documentation doesn't support a more specific option: occipital neuralgia (M54.81).
It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.
In MS-DRG v44.0, it is part of the grouping logic for DRG 551 (Medical Back Problems with MCC, relative weight 1.6358) and DRG 552 (Medical Back Problems without MCC, relative weight 0.9584), in MDC 08 (Diseases and Disorders of the Musculoskeletal System and Connective Tissue), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.
More specific Vertebrogenic pain codes (official index)
Common questions about Vertebrogenic pain ICD-10 codes
What is the ICD-10 code for Vertebrogenic pain?
- M54.89 — Other dorsalgia. More specific codes apply when the documentation supports them: M54.51, M54.51, M54.89.
What is the ICD-10 code for low back vertebrogenic pain?
- M54.51 — Vertebrogenic low back pain.
What is the ICD-10 code for lumbar vertebrogenic pain?
- M54.51 — Vertebrogenic low back pain.
What is the ICD-10 code for syndrome vertebrogenic pain?
- M54.89 — Other dorsalgia.
Is M54.89 billable?
- Yes. M54.89 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can M54.89 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict M54.89 as a principal diagnosis.
Is M54.89 a CC or MCC?
- No. M54.89 is neither a CC nor an MCC under MS-DRG v44.0.