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Home/Diagnosis/ICD-10 Coding for Radiculopathy

ICD-10 Coding for Radiculopathy

M54.16
M54.12

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

Also Known as:
Nerve root compression
Pinched nerve
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Key Information: ICD-10 Coding for Radiculopathy

Essential facts and insights about ICD-10 Coding for Radiculopathy

Use ICD-10 code M54.16 for lumbar radiculopathy, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Lumbar radiculopathy

Billable Code
M54.16
Billable

Diagnostic Criteria

clinical:
  • • Presence of dermatomal pain and sensory loss
documentation:
  • • Imaging evidence of nerve root compression

Applicable To

  • • Nerve root compression in lumbar region

Important Notes

  • • Ensure documentation supports the use of radiculopathy codes with specific clinical findings.

Cervical radiculopathy

Billable Code
M54.12
Billable

Applicable To

  • • Nerve root compression in cervical region

Important Notes

  • • Ensure documentation supports the use of radiculopathy codes with specific clinical findings.
Ancillary Codes

Additional codes that may be used with this diagnosis

M51.16

Lumbar disc disorder with radiculopathy

Use when MRI confirms disc herniation as the cause of radiculopathy.

M47.22

Spondylosis with lumbar radiculopathy

Use when degenerative changes are the primary etiology.

Frequently Asked Questions

What is the ICD-10 code for lumbar radiculopathy?

The ICD-10 code for lumbar radiculopathy is M54.16, used when clinical and imaging findings confirm nerve root compression in the lumbar region.

How do you document radiculopathy?

Document radiculopathy by specifying the affected region, laterality, and confirming with clinical and imaging findings such as MRI.

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