M54.1 is the authoritative medical code for Radiculopathy. This classification is used in medical billing and clinical recording to specify the clinical criteria for radiculopathy (ICD-10-CM M54.1), ensuring healthcare documentation aligns with current federal coding standards.
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Official Registry Overview & Definition
Radiculopathy is a non-billable ICD-10-CM category code M54.1. A more specific billable subcode must be selected for claims submission. Inclusion terms: Brachial neuritis or radiculitis NOS; Lumbar neuritis or radiculitis NOS; Lumbosacral neuritis or radiculitis NOS; Thoracic neuritis or radiculitis NOS; Radiculitis NOS. Excludes1 (not coded here): 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-; psychogenic dorsalgia F45.41; current injury - see injury of spine by body region; discitis NOS M46.4-.
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for M54.1 in the official ICD-10-CM tabular list.
Inclusion Terms
Alternative terms the tabular list files under this code.
- Brachial neuritis or radiculitis NOS
- Lumbar neuritis or radiculitis NOS
- Lumbosacral neuritis or radiculitis NOS
- Thoracic neuritis or radiculitis NOS
- Radiculitis NOS
Excludes1 — Not Coded Here
Conditions that can never be reported with this code; the two are mutually exclusive.
- 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-
- psychogenic dorsalgia F45.41
- current injury - see injury of spine by body region
- discitis NOS M46.4-
Frequently Asked Questions (FAQ) & Clinical Guidance
Can M54.1 be billed directly?
No. M54.1 (Radiculopathy) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
What can't be coded together with M54.1?
Per official ICD-10-CM Excludes1 instructions, M54.1 must not be reported together with: 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-).
What conditions are included under M54.1?
Radiculopathy includes: Brachial neuritis or radiculitis NOS; Lumbar neuritis or radiculitis NOS; Lumbosacral neuritis or radiculitis NOS; Thoracic neuritis or radiculitis NOS; Radiculitis NOS.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to M54.1 in its code family, with their registry titles.
- M54.10 — Radiculopathy, site unspecified
- M54.11 — Radiculopathy, occipito-atlanto-axial region
- M54.12 — Radiculopathy, cervical region
- M54.13 — Radiculopathy, cervicothoracic region
- M54.14 — Radiculopathy, thoracic region
- M54.15 — Radiculopathy, thoracolumbar region
- M54.16 — Radiculopathy, lumbar region
- M54.17 — Radiculopathy, lumbosacral region
- M54.18 — Radiculopathy, sacral and sacrococcygeal region