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M54.13

Billable

Radiculopathy, cervicothoracic region

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

What This Code Means

Nerve root pain and irritation affecting the area where the neck and upper back meet, typically causing symptoms radiating into the arm.

Coding Tips

  • Use this code when radiculopathy spans both cervical and thoracic regions; do not use if limited to cervical only
  • Document the specific nerve root affected (C5, C6, C7, T1) when available for more precise coding

Code Hierarchy

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