ICD-10-CM Diagnosis Code M54.3 - Sciatica (original) (raw)
ICD List 2025-2026 Edition
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- 2026 ICD-10-CM Code M54.3
Sciatica
ICD-10-CM Code:
M54.3
ICD-10 Code for:
Sciatica
Is Billable?
Not Valid for Submission
Code Navigator:
M54.3 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity from the list below for a diagnosis of sciatica. The code is not specific and is NOT valid for the year 2026 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.
Non-specific codes like M54.3 require more digits to indicate the appropriate level of specificity. Consider using any of the following billable codes with a higher level of specificity when coding for sciatica:
Use M54.30 for Sciatica, unspecified side
Use M54.31 for Sciatica, right side
Use M54.32 for Sciatica, left side
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- Code History
Diseases of the musculoskeletal system and connective tissue
M00–M99Sciatica
a condition characterized by pain radiating from the back into the buttock and posterior/lateral aspects of the leg. sciatica may be a manifestation of sciatic neuropathy; radiculopathy (involving the spinal nerve roots; l4, l5, s1, or s2, often associated with intervertebral disk displacement); or lesions of the cauda equina.
The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).
- - Sciatica (infective) - M54.3
- - wallet - M54.3
References found for this diagnosis code in the External Cause of Injuries Index:
- Sciatica(infective)
- Sciatica(infective)
- wallet
Sciatica
Sciatica is a symptom of a problem with the sciatic nerve, the largest nerve in the body. It controls muscles in the back of your knee and lower leg and provides feeling to the back of your thigh, part of your lower leg, and the sole of your foot. When you have sciatica, you have pain, weakness, numbness, or tingling. It can start in the lower back and extend down your leg to your calf, foot, or even your toes. It's usually on only one side of your body.
Causes of sciatica include:
- A ruptured intervertebral disk
- Narrowing of the spinal canal that puts pressure on the nerve, called spinal stenosis
- An injury such as a pelvic fracture.
In many cases no cause can be found.
Sometimes sciatica goes away on its own. Treatment, if needed, depends on the cause of the problem. It may include exercises, medicines, and surgery.
FY 2026 - No Change, effective from 10/1/2025 through 9/30/2026
FY 2025 - No Change, effective from 10/1/2024 through 9/30/2025
FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.
