G54 vs M54.13
G54 (Nerve root and plexus disorders) compared with M54.13 (Radiculopathy, cervicothoracic region), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. G54 carries an Excludes1 note covering M54.13: “neuritis or radiculitis brachial NOS (M54.13)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
No — do not report together. G54 carries an Excludes1 note covering M54.13: “radiculitis NOS (M54.1-)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| G54Nerve root and plexus disorders | M54.13Radiculopathy, cervicothoracic region | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| Classification | G00-G99 — Diseases of the Nervous System (G00-G99) | M00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99) |
| Definition | Nerve root and plexus disorders is a non-billable ICD-10-CM category code (G54). | Radiculopathy, cervicothoracic region is a billable ICD-10-CM diagnosis code (M54.13). |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources