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M54.12

Billable

Radiculopathy, cervical 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 in the neck area caused by compression or irritation of nerve roots in the cervical spine.

Coding Tips

  • •Verify documentation specifies cervical region; if documentation mentions 'cervicothoracic' use M54.13 instead
  • •Radiculopathy requires evidence of nerve root involvement (pain radiating down arm, numbness, tingling) not just neck pain alone

Code Hierarchy

└M54Dorsalgia└M54.1Radiculopathy└M54.12Radiculopathy, cervical region
└M54.12Radiculopathy, cervical region

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