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Home/Diagnosis/ICD-10 Coding for Left Neck Pain

ICD-10 Coding for Left Neck Pain

M54.21
M50.122
S13.4XXA

Complete ICD-10-CM coding and documentation guide for icd-10 coding for left neck pain includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Left Cervical Pain
Left-Sided Neck Pain
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Key Information: ICD-10 Coding for Left Neck Pain

Essential facts and insights about ICD-10 Coding for Left Neck Pain

Use ICD-10 code M54.21 for cervicalgia, occipito-atlanto-axial region, left, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Cervicalgia, occipito-atlanto-axial region, left

Non-Billable
M54.21
Non-Billable

Diagnostic Criteria

clinical:
  • • Pain strictly in the left cervical region without radiation.
documentation:
  • • Documentation must specify left-sided pain and absence of neurological symptoms.

Applicable To

  • • Localized left neck pain

Important Notes

  • • Ensure laterality is specified in documentation.

Cervical disc disorder at C5-C6 level with radiculopathy, left

Billable Code
M50.122
Billable

Diagnostic Criteria

clinical:
  • • Imaging showing left C5-C6 disc protrusion
  • • Positive EMG/NCS for left C6 radiculopathy

Applicable To

  • • Radiculopathy due to cervical disc disorder

Important Notes

  • • Ensure documentation includes imaging and EMG/NCS results.

Sprain of ligaments of cervical spine, initial encounter

Billable Code
S13.4XXA
Billable

Diagnostic Criteria

clinical:
  • • Documented traumatic event
  • • Ligament-specific findings on examination

Applicable To

  • • Acute neck sprain from trauma

Important Notes

  • • Ensure trauma and mechanism are clearly documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

G89.21

Chronic pain due to trauma

Use when chronic pain is documented alongside the primary code.

R29.818

Other symptoms involving nervous system

Use when additional neurological symptoms are documented.

V43.5AXA

Car occupant injured in collision with fixed or stationary object, initial encounter

Use to specify the external cause of injury.

Frequently Asked Questions

What is the ICD-10 code for left neck pain?

The ICD-10 code for left neck pain is M54.21, which specifies cervicalgia in the occipito-atlanto-axial region on the left side.

How do you code left neck pain with radiculopathy?

Left neck pain with radiculopathy is coded as M50.122, indicating a cervical disc disorder at the C5-C6 level with radiculopathy on the left.

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