Advanced Search

ICD-10-CM Code for Radiculopathy, lumbar region M54.16

ICD-10 code M54.16 for Radiculopathy, lumbar region is a medical classification as listed by WHO under the range - Dorsopathies .

Image 1

Official Long Descriptor

Radiculopathy, lumbar region

M54.1

Excludes1: neuralgia and neuritis NOS (M79.2)
radiculopathy with cervical disc disorder (M50.1)
radiculopathy with lumbar and other intervertebral disc disorder (M51.1-)
radiculopathy with spondylosis (M47.2-)

M54

Excludes1: psychogenic dorsalgia (F45.41)

Additional/Related Information

Tabs
Get crucial instructions for accurate ICD-10-CM M54.16 coding with all applicable Excludes 1 and Excludes 2 notes from the section level conveniently shown with each code.
This section shows you chapter-specific coding guidelines to increase your understanding and correct usage of the target ICD-10-CM Volume 1 code.

Crosswalks

Forum

Have a question about ICD-10-CM Code M54.16 ? Start a discussion here
Status post fall ICD 10
I have another case for a fall; 29.6 wks. pregnant with two days of lower back pain. Fell on her butt, toddler knocked patient over. Denies any trauma to abdomen. Has difficulty moving certain was an... [ Read More ]
M54.2 & M54.12
[QUOTE="Alittle326, post: 514104, member: 496049"] Is is possible to bill M54.2 and M54.12 together? [/QUOTE] There is nothing under "Excludes 1" under either code that would prohibit these codes from... [ Read More ]
M54.2 & M54.12
Is is possible to bill M54.2 and M54.12 together?... [ Read More ]
Z02.89 denials
[QUOTE="carleycarter26@gmail.com, post: 513962, member: 717543"] We help a lot of refugees at our clinic and our providers keep using Z02.89- Encounter for other administrative examinations as the Pri... [ Read More ]
88108
[QUOTE="TThivierge, post: 513320, member: 216725"] Hi Brandy are you asking what CPT or Dx used in conjunction with this lab 88108? it seems came from the spinal cavity so was this done because of Chr... [ Read More ]
dietitian billing: Hi i need help with some dietitian billing. any experts? what are the proper cpt codes for billing a dietitian visit?
Hi Dravekar :) Amanda is right your diet gurus cannot bill CPT 99202-99215 unless a clinician such as MD DO NP or PA. Dieticians not allowed to use those codes. CPT 99402, 97802 can be used and 98960... [ Read More ]
88108
Hi Brandy are you asking what CPT or Dx used in conjunction with this lab 88108? it seems came from the spinal cavity so was this done because of Chronic Back pain M54.5/G89.29 or skin infection on b... [ Read More ]
Psychotherapy performed same-day as E/M service by clinician
Hi Yes you can bill both together but the catch is are the providers discussing(documenting) the ongoing chronic medical illness and the BH services on the treatment for the day?. Then you would lin... [ Read More ]
Correct CPT code for Interlaminar ESI T12-L1
Hello, I have a question as to the correct CPT code to bill for a T12-L1 ESI. Would this be considered thoracic or lumbar. The provider has documented a dx of M54.16 (lumbar radiculopathy) so I am lea... [ Read More ]
BCBS & ICD-10 Codes for PT
Hi [USER=829785]HCiochetty[/USER], Yes, I have clearly identified this issue working pathology denials this past Mid May while assisting my denial team with pathology denials. I actually posted some ... [ Read More ]
View All

Coding Alert(s)

    See links to CMS documents related to your ICD-10-CM code without changing pages or searching the Web. Create your account here for Free Trial to Codify's CMS Center!

    Latest News

    OIG Says Health Net Misreported Dx Codes
    The Medicare Advantage organization says they are being held to unreasonable standards. Health Net of California Inc. was recently called out by the Office of Inspector General OIG for failing to subm... [ Read More ]
    Minimize and Maximize Widgets to Customize Codify
    Reduce the clutter on your home page with one click. Codify offers a lot of tools on its home page but you dont always want all of them expanded at once. There is a simple way to maximize the tools yo... [ Read More ]
    Exploring the Financial Impact of Audits
    Strategies for unlocking a dialogue with physicians. As auditors we bridge the gap between medical coding accuracy and financial stability in healthcare organizations. Its our role to knock on the doo... [ Read More ]
    Go Sober for October
    Encourage patients to take stock of their relationship with alcohol. From Dry January and Dry July to Sober September and Sober October the monthlong abstinence trend of shunning alcohol has gained gr... [ Read More ]
    Member of the Month: Jennifer Lavoie
    Meet a member who never stops learning and growing. Each month AAPC selects a member who demonstrates exemplary leadership qualities. This month weve chosen Jennifer Lavoie RN CPC. Lavoie has enjoyed ... [ Read More ]
    View All News