2020 ICD-10-CM Diagnosis Code M54.1

Radiculopathy

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • M54.1 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2020 edition of ICD-10-CM M54.1 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of M54.1 - other international versions of ICD-10 M54.1 may differ.
Applicable To
  • Brachial neuritis or radiculitis NOS
  • Lumbar neuritis or radiculitis NOS
  • Lumbosacral neuritis or radiculitis NOS
  • Thoracic neuritis or radiculitis NOS
  • Radiculitis NOS
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as M54.1. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • neuralgia and neuritis NOS (
    ICD-10-CM Diagnosis Code M79.2

    Neuralgia and neuritis, unspecified

      2016 2017 2018 2019 2020 Billable/Specific Code
    Type 1 Excludes
    M79.2
    )
  • radiculopathy with cervical disc disorder (
    ICD-10-CM Diagnosis Code M50.1

    Cervical disc disorder with radiculopathy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • brachial radiculitis NOS (M54.13)
    M50.1
    )
  • radiculopathy with lumbar and other intervertebral disc disorder (
    ICD-10-CM Diagnosis Code M51.1

    Thoracic, thoracolumbar and lumbosacral intervertebral disc disorders with radiculopathy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Applicable To
    • Sciatica due to intervertebral disc disorder
    Type 1 Excludes
    M51.1-
    )
  • radiculopathy with spondylosis (
    ICD-10-CM Diagnosis Code M47.2

    Other spondylosis with radiculopathy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    M47.2-
    )
The following code(s) above M54.1 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to M54.1:
  • M00-M99
    2020 ICD-10-CM Range M00-M99

    Diseases of the musculoskeletal system and connective tissue

    Note
    • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
    Type 2 Excludes
    • arthropathic psoriasis (L40.5-)
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • compartment syndrome (traumatic) (T79.A-)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
    Diseases of the musculoskeletal system and connective tissue
  • M50-M54
    2020 ICD-10-CM Range M50-M54

    Other dorsopathies

    Type 1 Excludes
    • current injury - see injury of spine by body region
    • discitis NOS (M46.4-)
    Other dorsopathies
  • M54
    ICD-10-CM Diagnosis Code M54

    Dorsalgia

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • psychogenic dorsalgia (F45.41)
    Dorsalgia
Clinical Information
  • A disorder characterized by inflammation involving a nerve root. Patients experience marked discomfort radiating along a nerve path because of spinal pressure on the connecting nerve root.
  • An inflammatory process affecting a nerve root. Patients experience pain radiating along a nerve path because of spinal pressure on the nerve root that connects to the nerve path.
  • Disease involving a spinal nerve root (see spinal nerve roots) which may result from compression related to intervertebral disk displacement; spinal cord injuries; spinal diseases; and other conditions. Clinical manifestations include radicular pain, weakness, and sensory loss referable to structures innervated by the involved nerve root.
  • Disease of the spinal nerve root
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
Code annotations containing back-references to M54.1:
  • Type 1 Excludes: M79.2
    , M79.2
    , M79.2
    ICD-10-CM Diagnosis Code M79.2

    Neuralgia and neuritis, unspecified

      2016 2017 2018 2019 2020 Billable/Specific Code
    Type 1 Excludes
    ICD-10-CM Diagnosis Code M79.2

    Neuralgia and neuritis, unspecified

      2016 2017 2018 2019 2020 Billable/Specific Code
    Type 1 Excludes
    ICD-10-CM Diagnosis Code M79.2

    Neuralgia and neuritis, unspecified

      2016 2017 2018 2019 2020 Billable/Specific Code
    Type 1 Excludes

Diagnosis Index entries containing back-references to M54.1:
  • Radiculopathy M54.10
    ICD-10-CM Diagnosis Code M54.10

    Radiculopathy, site unspecified

      2016 2017 2018 2019 2020 Billable/Specific Code
    • leg M54.1-

ICD-10-CM Codes Adjacent To M54.1
M54.00 …… site unspecified
M54.01 …… occipito-atlanto-axial region
M54.02 …… cervical region
M54.03 …… cervicothoracic region
M54.04 …… thoracic region
M54.05 …… thoracolumbar region
M54.06 …… lumbar region
M54.07 …… lumbosacral region
M54.08 …… sacral and sacrococcygeal region
M54.09 Panniculitis affecting regions, neck and back, multiple sites in spine
M54.1 Radiculopathy
M54.10 …… site unspecified
M54.11 …… occipito-atlanto-axial region
M54.12 …… cervical region
M54.13 …… cervicothoracic region
M54.14 …… thoracic region
M54.15 …… thoracolumbar region
M54.16 …… lumbar region
M54.17 …… lumbosacral region
M54.18 …… sacral and sacrococcygeal region
M54.2 Cervicalgia

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.