G55 vs M54.1
G55 (Nerve root and plexus compressions in diseases classified elsewhere) compared with M54.1 (Radiculopathy), 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. G55 carries an Excludes1 note covering M54.1: “nerve root compression (due to) (in) dorsopathies (M53.-, M54.-)”
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. G55 carries an Excludes1 note covering M54.1: “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
| G55Nerve root and plexus compressions in diseases classified elsewhere | M54.1Radiculopathy | |
|---|---|---|
| Billing status | Billable | Non-billable header |
| 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 compressions in diseases classified elsewhere is a billable ICD-10-CM diagnosis code (G55). | Radiculopathy is a non-billable ICD-10-CM category code (M54.1). |
| Includes | — | Brachial neuritis or radiculitis NOS Lumbar neuritis or radiculitis NOS Lumbosacral neuritis or radiculitis NOS Thoracic neuritis or radiculitis NOS |
| Code first | underlying disease, such as: neoplasm (C00-D49) | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources