ICD-10 M54.6
Billable / SpecificPain in thoracic spine
About ICD-10-CM M54.6
ICD-10-CM code M54.6 represents Pain in thoracic spine. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M54). The 2026 edition of ICD-10-CM M54.6 became effective on October 1, 2025.
Type 1 Excludes
Pure excludes, these codes can never be coded together with M54.6. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- pain in thoracic spine due to intervertebral disc disorder (M51.-)
Medicare LCD Coverage for M54.6
Local Coverage Determinations (LCDs) from CMS MACs that list M54.6 as a covered diagnosis.
Showing top 10 of 986 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing M54.6.
2 Aetna
2 Cigna
5 Medicare
CPT Codes Commonly Billed with M54.6
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- M0076 CMS LCD: Billing and Coding: Trigger Point Injections CMS LCD
Convert M54.6 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| M54.6 | 7241 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To M54.6
Other codes in section M50-M54 (Other dorsopathies).
ICD-10 M54.6, Billing FAQ
Is ICD-10 code M54.6 billable? +
Yes, M54.6 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What codes are Type 1 Excludes for M54.6? +
Type 1 Excludes (never code together with M54.6): pain in thoracic spine due to intervertebral disc disorder (M51.-)
What CPT codes are commonly billed with M54.6? +
Procedures frequently paired with M54.6 include: M0076.
What ICD-9 codes does M54.6 map to? +
Per CMS GEMs, M54.6 maps to ICD-9 codes: 7241. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on July 16, 2026.
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