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Home/Diagnosis/ICD-10 Coding for Occipital Neuralgia

ICD-10 Coding for Occipital Neuralgia

M54.81

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

Also Known as:
Arnold Neuralgia
Greater Occipital Neuralgia
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Key Information: ICD-10 Coding for Occipital Neuralgia

Essential facts and insights about ICD-10 Coding for Occipital Neuralgia

Use ICD-10 code M54.81 for occipital neuralgia, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Occipital neuralgia

Billable Code
M54.81
Billable

Diagnostic Criteria

clinical:
  • • Presence of sharp, stabbing pain in the occipital region
documentation:
  • • Documented response to occipital nerve block

Applicable To

  • • Sharp, stabbing pain in the occipital region
  • • Tenderness over the occipital nerve

Important Notes

  • • Ensure documentation specifies occipital nerve involvement to differentiate from other headache types.
Ancillary Codes

Additional codes that may be used with this diagnosis

G44.841

Chronic migraine with aura

Use when occipital neuralgia coexists with chronic migraine.

Frequently Asked Questions

What is the ICD-10 code for occipital neuralgia?

The ICD-10 code for occipital neuralgia is M54.81. It is used to document cases with sharp, stabbing pain in the occipital region and tenderness over the occipital nerve.

How is occipital neuralgia diagnosed?

Occipital neuralgia is diagnosed through clinical evaluation of pain characteristics, tenderness over the occipital nerve, and response to diagnostic nerve blocks.

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