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M54.15

Billable

Radiculopathy, thoracolumbar region

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

What This Code Means

Nerve root pain affecting the area where the mid-back and lower back meet, potentially causing symptoms in the lower back and upper leg.

Coding Tips

  • •Use when radiculopathy involves both thoracic and lumbar regions; do not use if symptoms are isolated to one region
  • •Confirm documentation specifies nerve root involvement rather than simple back pain

Code Hierarchy

└M54Dorsalgia└M54.1Radiculopathy└M54.15Radiculopathy, thoracolumbar region
└M54.15Radiculopathy, thoracolumbar region

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