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M54.11

Billable

Radiculopathy, occipito-atlanto-axial region

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Pain and nerve irritation radiating from the upper neck and base of the skull where the skull meets the spine.

Coding Tips

  • •This code is specific to the occipito-atlanto-axial region (upper cervical spine); do not use for lower cervical radiculopathy
  • •Document the specific nerve root involvement if possible for more detailed clinical documentation

Code Hierarchy

└M54Dorsalgia└M54.1Radiculopathy└M54.11Radiculopathy, occipito-atlanto-axial region
└M54.11Radiculopathy, occipito-atlanto-axial region

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