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M54.51 Musculoskeletal
Updated March 2026

Vertebrogenic low back pain

ICD-10 Code: M54.51 · Body Part: Lumbar Spine

QME Evaluation Process

Physical examination with focus on vertebral segmental dysfunction, imaging correlation, and pain provocation testing. DRE method preferred when radiculopathy absent.

Typical Impairment Rating

5-15% WPI per DRE Category II-III

AMA Guides Edition

5th Edition

Common Treatments

+ Physical therapy
+ Chiropractic care
+ Facet joint injections

Related Conditions

Body Part Guide

Lumbar Spine Evaluation Guide

Impairment rating methods, common conditions, and QME evaluation protocols

View Guide →

QME Specialties for Vertebrogenic low back pain

Find a QME Specialist

Browse QME-certified physicians who evaluate vertebrogenic low back pain and related lumbar spine conditions in California.

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Frequently Asked Questions

What is Vertebrogenic low back pain (M54.51)?

Vertebrogenic low back pain is an ICD-10 diagnosis code (M54.51) classified under Musculoskeletal conditions. It affects the Lumbar Spine and is commonly encountered in California workers' compensation claims. QME physicians evaluate this condition using AMA Guides 5th Edition protocols.

How is M54.51 rated for impairment?

The typical whole person impairment (WPI) range for Vertebrogenic low back pain is 5-15% WPI per DRE Category II-III. The exact rating depends on clinical findings, imaging, and the evaluation method (DRE or ROM) chosen by the QME physician per AMA Guides 5th Edition.

What is the QME evaluation process for M54.51?

Physical examination with focus on vertebral segmental dysfunction, imaging correlation, and pain provocation testing. DRE method preferred when radiculopathy absent.

What treatments are common for Vertebrogenic low back pain?

Common treatments for Vertebrogenic low back pain include Physical therapy, Chiropractic care, Facet joint injections. Treatment appropriateness and outcomes are considered during the QME evaluation when determining permanent and stationary status and apportionment.