Skip to content
HCC Buddy home

M54.16

Billable

Radiculopathy, lumbar region

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

What This Code Means

Nerve root irritation in the lower back (lumbar) region, commonly causing pain, numbness, or weakness radiating into the leg.

Coding Tips

  • •This is one of the most common radiculopathy codes; verify nerve root involvement is documented
  • •Do not use if symptoms are limited to sciatica (use M54.3x instead) unless specifically documented as lumbar radiculopathy

Code Hierarchy

└M54Dorsalgia└M54.1Radiculopathy└M54.16Radiculopathy, lumbar region
└M54.16Radiculopathy, lumbar region

Open M54.16 in the Interactive Encoder

See full code details, AI coding tips, HCC mappings, and related codes in our interactive encoder. Start your 14-day Pro trial — no credit card required.

Open in EncoderStart 14-Day Pro Trial