M54.16

Radiculopathy, lumbar region

Billable / specific

M54.16 is a billable, specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes in FY2027.

Inclusion terms

Note: Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition

Not coded here — never report together with this code.

neuralgia and neuritis NOS (M79.2) (from M54.1)
radiculopathy with cervical disc disorder (M50.1) (from M54.1)
radiculopathy with lumbar and other intervertebral disc disorder (M51.1-) (from M54.1)
radiculopathy with spondylosis (M47.2-) (from M54.1)
current injury - see injury of spine by body region (from M54)
discitis NOS (M46.4-) (from M54)
psychogenic dorsalgia (F45.41) (from M54)

Not included here — may be reported together when both conditions exist.

arthropathic psoriasis (L40.5-) (from M54)
certain conditions originating in the perinatal period (P04-P96) (from M54)
certain infectious and parasitic diseases (A00-B99) (from M54)
compartment syndrome (traumatic) (T79.A-) (from M54)
complications of pregnancy, childbirth and the puerperium (O00-O9A) (from M54)
congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99) (from M54)
endocrine, nutritional and metabolic diseases (E00-E88) (from M54)
injury, poisoning and certain other consequences of external causes (S00-T88) (from M54)
neoplasms (C00-D49) (from M54)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94) (from M54)