M54.1
Header — not billableRadiculopathy
The ICD-10 code for radiculopathy is M54.1.
M54.1 is a non-billable header code. It groups related conditions but cannot be used on its own for reimbursement — select one of the 9 more specific codes below.
Clinical notes
Excludes1 (not coded here)
An Excludes1 note is a pure exclusion: the excluded condition and this code should never be reported together, because the two conditions cannot occur at the same time (e.g. a congenital form vs. an acquired form of the same disease).
Also known as
Alternate wording, synonyms, or specific conditions that fall under this code, listed to help confirm you've picked the right one.
- Brachial neuritis or radiculitis NOS
- Lumbar neuritis or radiculitis NOS
- Lumbosacral neuritis or radiculitis NOS
- Thoracic neuritis or radiculitis NOS
- Radiculitis NOS
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •This is a non-billable header code. Documentation must support a more specific child code before this diagnosis can be reported on a claim.
- •Confirm the excluded condition(s) listed above are not also present — Excludes1 conditions cannot be coded together with this one.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Child codes under M54.1
- M54.10Radiculopathy, site unspecified
- M54.11Radiculopathy, occipito-atlanto-axial region
- M54.12Radiculopathy, cervical region
- M54.13Radiculopathy, cervicothoracic region
- M54.14Radiculopathy, thoracic region
- M54.15Radiculopathy, thoracolumbar region
- M54.16Radiculopathy, lumbar region
- M54.17Radiculopathy, lumbosacral region
- M54.18Radiculopathy, sacral and sacrococcygeal region
Related codes in this category
- M54.0Panniculitis affecting regions of neck and backnon-billable header
- M54.2Cervicalgia
- M54.3Sciaticanon-billable header
- M54.4Lumbago with sciaticanon-billable header
- M54.5Low back painnon-billable header
- M54.6Pain in thoracic spine
- M54.8Other dorsalgianon-billable header
- M54.9Dorsalgia, unspecified
- M54.1Radiculopathynon-billable header