ICD-10-CM Code M54.1

Radiculopathy

Version 2020 Non-Billable Code

Not Valid for Submission

M54.1 is a "header" nonspecific and non-billable code code, consider using a code with a higher level of specificity for a diagnosis of radiculopathy. The code is NOT valid for the year 2020 for the submission of HIPAA-covered transactions.

ICD-10:M54.1
Short Description:Radiculopathy
Long Description:Radiculopathy

Consider the following ICD-10 codes with a higher level of specificity:

  • 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

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code M54.1:

Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • 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

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • 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

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code M54.1 are found in the index:


Clinical Information

  • RADICULOPATHY-. disease involving a spinal nerve root see spinal nerve roots which may result from compression related to intervertebral disk displacement; spinal cord injuries; spinal diseases; and other conditions. clinical manifestations include radicular pain weakness and sensory loss referable to structures innervated by the involved nerve root.

Code Classification

  • Diseases of the musculoskeletal system and connective tissue (M00–M99)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Back Pain

If you've ever groaned, "Oh, my aching back!", you are not alone. Back pain is one of the most common medical problems, affecting 8 out of 10 people at some point during their lives. Back pain can range from a dull, constant ache to a sudden, sharp pain. Acute back pain comes on suddenly and usually lasts from a few days to a few weeks. Back pain is called chronic if it lasts for more than three months.

Most back pain goes away on its own, though it may take awhile. Taking over-the-counter pain relievers and resting can help. However, staying in bed for more than 1 or 2 days can make it worse.

If your back pain is severe or doesn't improve after three days, you should call your health care provider. You should also get medical attention if you have back pain following an injury.

Treatment for back pain depends on what kind of pain you have, and what is causing it. It may include hot or cold packs, exercise, medicines, injections, complementary treatments, and sometimes surgery.

NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases


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Peripheral Nerve Disorders

Your peripheral nerves are the ones outside your brain and spinal cord. Like static on a telephone line, peripheral nerve disorders distort or interrupt the messages between the brain and the rest of the body.

There are more than 100 kinds of peripheral nerve disorders. They can affect one nerve or many nerves. Some are the result of other diseases, like diabetic nerve problems. Others, like Guillain-Barre syndrome, happen after a virus infection. Still others are from nerve compression, like carpal tunnel syndrome or thoracic outlet syndrome. In some cases, like complex regional pain syndrome and brachial plexus injuries, the problem begins after an injury. Some people are born with peripheral nerve disorders.

Symptoms often start gradually, and then get worse. They include

  • Numbness
  • Pain
  • Burning or tingling
  • Muscle weakness
  • Sensitivity to touch

Treatment aims to treat any underlying problem, reduce pain and control symptoms.

NIH: National Institute of Neurological Disorders and Stroke


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