M54.41 – Lumbago with sciatica, right side

M54.41 – Lumbago with sciatica, right side

Learn all about the ICD-10-CM code M54.41 for Lumbago with sciatica on the right side through this guide.

By Matt Olivares on Jul 16, 2025.

Fact Checked by Gale Alagos.

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M54.41 diagnosis code: Lumbago with sciatica, right side

The M54.41 is an ICD code included in the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), and it is used to designate lumbago with sciatica on the right side of the body.

Lumbago is an old term for lower back pain. Lumbago is a condition in which a person's lower back muscles tense up. It is characterized by a (chronic) back pain that radiates to other parts of the lower back and lumbar region, and in some cases, down to the legs (lower extremity pain). It can even turn into chronic low back pain over time.

On the other hand, sciatica is a condition in which the legs are in pain. They also become numb and weak; at times, the person with sciatica will feel a tingling sensation in their legs.

In the case of this ICD code, the low back pain patients have both lumbago and sciatica, and the latter is specifically in their right leg.

Is the M54.41 billable?

Yes, this M54.41 ICD-10-CM code is billable, and healthcare providers/professionals can use it to indicate a diagnosis for reimbursement purposes, especially for Medicaid services.

M54.41 clinical information

If a patient attends a consultation with you and they mention that they feel pain in their lower back, that might be an indication of lumbago. However, lower back pain is caused by other potential problems, not just lumbago. It's best to have them elaborate on what they're feeling.

Lumbago symptoms include the following:

  • Severe pain the lower back that spreads out (it can even be acute low back pain or discogenic back pain at times)
  • They have a hard time standing up, sitting down, and walking
  • Numbness or tingling in the lower back

Sometimes, the pain that the patient feels due to lumbago can trickle down to the buttocks and even down to the foot. If they feel pain, numbness, weakness, and even tingling in their legs, then they not only have lumbago but also have sciatica.

To confirm if the patient has signs of both, the healthcare professional should conduct a comprehensive examination and imaging tests of the musculoskeletal system.

It can be caused by intervertebral disc degeneration or other intervertebral disc disorder in the lumbosacral region, like spinal stenosis.

Once it's confirmed that the problem is lumbago with sciatica (on the right side, in the context of this ICD-10 code), then a treatment plan can be implemented.

Lumbago is normally treated by resting, taking medicine, using cold packs, and visiting a physical therapy practice for exercises by rehab therapists. The same is true for sciatica. Given this, it should go away after at least three days.

If it doesn't get better and the pain just worsens, then surgery might be a good option to address root problems like intervertebral disc displacement. It's best to try non-invasive treatment first before major ones like surgery.

M54.41 synonyms include

  • Lumbago with sciatica
  • Lumbago co-occurrent with right-side sciatica
  • Bilateral sciatica
  • Disorder of right sciatic nerve
  • Low back pain co-occurrent and due to bilateral sciatica
  • Pain of bilateral thighs
  • Right side sciatica

Popular search terms for this ICD-10 code

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Other ICD-10 codes commonly used for lumbago and sciatica

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