Skip to content

M54.81

Billable

Occipital neuralgia

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

What This Code Means

Sharp, burning pain at the base of the skull that may radiate down the back of the head and neck.

Coding Tips

  • This is a specific type of neuralgia affecting the occipital nerve
  • Document whether pain is unilateral or bilateral for complete clinical picture

Code Hierarchy

Open M54.81 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.