M54.1 Header — not billable

Radiculopathy

Radiculopathy

M54.1 is a header (parent) code in the ICD-10-CM hierarchy. It is not billable for claim submission. Use one of the billable child codes listed below.

Billable codes in this category

Each of the codes below is billable. Choose the one that most accurately describes the patient's diagnosis.

M54.10
Radiculopathy, site unspecified

M54.10 classifies radiculopathy — nerve root compression or irritation causing radiating pain, sensory changes, or motor deficits — when the affected spinal region is not documented or cannot be determined.

M54.11
Radiculopathy, occipito-atlanto-axial region

Radiculopathy arising from nerve root irritation or compression at the occipito-atlanto-axial region — the junction of the occiput, atlas (C1), and axis (C2) — producing pain, numbness, or weakness in the corresponding distribution.

M54.12
Radiculopathy, cervical region

M54.12 classifies radiculopathy arising from nerve root compression or irritation in the cervical (C1–C7) region of the spine, without an identified disc disorder or spondylosis as the primary cause.

M54.13
Radiculopathy, cervicothoracic region

Nerve root dysfunction at the junction where the cervical spine meets the thoracic spine (C7–T1), producing pain, sensory changes, or motor deficits that typically radiate into the upper extremity or chest wall.

M54.14
Radiculopathy, thoracic region

M54.14 identifies radiculopathy localized to the thoracic spine — nerve root dysfunction in the mid-to-upper back producing pain, sensory changes, or motor deficits in a thoracic dermatomal distribution.

M54.15
Radiculopathy, thoracolumbar region

Radiculopathy localized to the thoracolumbar junction — the transitional zone where the lower thoracic spine meets the upper lumbar spine — producing nerve root irritation or compression with pain, sensory changes, or motor deficits radiating along the corresponding dermatomal distribution.

M54.16
Radiculopathy, lumbar region

Nerve root compression or irritation arising specifically from the lumbar spinal segment, producing radicular pain, sensory deficits, or motor weakness that radiates along the affected dermatomal distribution.

M54.17
Radiculopathy, lumbosacral region

M54.17 identifies nerve root dysfunction originating at the lumbosacral junction (L5–S1 level), producing radicular pain, sensory changes, or motor deficits that radiate into the lower extremity — distinct from nonspecific low back pain or sciatica as a symptom.

M54.18
Radiculopathy, sacral and sacrococcygeal region

Nerve root dysfunction arising from the sacral or sacrococcygeal spinal segments, producing pain, sensory changes, or motor deficits in the distribution of sacral nerve roots (S1–S5) or the coccygeal nerve.

Inclusion & exclusion notes

Includes

  • Brachial neuritis or radiculitis NOS
  • Lumbar neuritis or radiculitis NOS
  • Lumbosacral neuritis or radiculitis NOS
  • Thoracic neuritis or radiculitis NOS
  • Radiculitis NOS

Excludes 1 (mutually exclusive — never code together)

  • 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-)

Ready to transform your orthopedic practice?

See how orthopedic practices are running documentation, billing, and operations on a single voice-first platform.

Request Access