2019 ICD-10-CM Diagnosis Code M54.16

Radiculopathy, lumbar region

    2016 2017 2018 2019 Billable/Specific Code
  • M54.16 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2019 edition of ICD-10-CM M54.16 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of M54.16 - other international versions of ICD-10 M54.16 may differ.
The following code(s) above M54.16 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 M54.16:
  • M00-M99
    2019 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
    2019 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 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • psychogenic dorsalgia (F45.41)
    Dorsalgia
  • M54.1
    ICD-10-CM Diagnosis Code M54.1

    Radiculopathy

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    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
    • neuralgia and neuritis NOS (M79.2)
    • radiculopathy with cervical disc disorder (M50.1)
    • radiculopathy with lumbar and other intervertebral disc disorder (M51.1-)
    • radiculopathy with spondylosis (M47.2-)
    Radiculopathy
Approximate Synonyms
  • Lumbar radiculopathy
ICD-10-CM M54.16 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):
  • 551 Medical back problems with mcc
  • 552 Medical back problems without mcc

Convert M54.16 to ICD-9-CM

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
Code annotations containing back-references to M54.16:
  • Type 1 Excludes: G54
    , M51.1
    ICD-10-CM Diagnosis Code G54

    Nerve root and plexus disorders

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • current traumatic nerve root and plexus disorders - see nerve injury by body region
    • intervertebral disc disorders (M50-M51)
    • neuralgia or neuritis NOS (M79.2)
    • neuritis or radiculitis brachial NOS (M54.13)
    • neuritis or radiculitis lumbar NOS (M54.16)
    • neuritis or radiculitis lumbosacral NOS (M54.17)
    • neuritis or radiculitis thoracic NOS (M54.14)
    • radiculitis NOS (M54.10)
    • radiculopathy NOS (M54.10)
    • spondylosis (M47.-)
    ICD-10-CM Diagnosis Code M51.1

    Thoracic, thoracolumbar and lumbosacral intervertebral disc disorders with radiculopathy

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Applicable To
    • Sciatica due to intervertebral disc disorder
    Type 1 Excludes

Diagnosis Index entries containing back-references to M54.16:
  • Neuritis (rheumatoid) M79.2
    ICD-10-CM Diagnosis Code M79.2

    Neuralgia and neuritis, unspecified

      2016 2017 2018 2019 Billable/Specific Code
    Type 1 Excludes
    • lumbar M54.16
  • Radiculopathy M54.10
    ICD-10-CM Diagnosis Code M54.10

    Radiculopathy, site unspecified

      2016 2017 2018 2019 Billable/Specific Code
    • lumbar region M54.16

ICD-10-CM Codes Adjacent To M54.16
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
M54.3 Sciatica
M54.30 …… unspecified side
M54.31 …… right side
M54.32 …… left side
M54.4 Lumbago with sciatica
M54.40 …… unspecified side
M54.41 …… right side

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