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2020 ICD-10-CM Diagnosis Code M54.16
- 2016 2017 2018 2019 2020 Billable/Specific Code
- M54.16 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
- The 2020 edition of ICD-10-CM M54.16 became effective on October 1, 2019.
- This is the American ICD-10-CM version of M54.16 - other international versions of ICD-10 M54.16 may differ.
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
- Applicable To annotations, or
- Code Also annotations, or
- Code First annotations, or
- Excludes1 annotations, or
- Excludes2 annotations, or
- Includes annotations, or
- Note annotations, or
- Use Additional annotations
- M00-M99
2020 ICD-10-CM Range M00-M99
Diseases of the musculoskeletal system and connective tissue
Diseases of the musculoskeletal system and connective tissueNote- Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
Type 2 Excludes- arthropathic psoriasis (L40.5-)
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- compartment syndrome (traumatic) (T79.A-)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
- M50-M54
2020 ICD-10-CM Range M50-M54
Other dorsopathies
Other dorsopathiesType 1 Excludes- current injury - see injury of spine by body region
- discitis NOS (M46.4-)
- M54
ICD-10-CM Diagnosis Code M54
Dorsalgia- 2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 1 Excludes
- psychogenic dorsalgia (F45.41)
- M54.1
ICD-10-CM Diagnosis Code M54.1
Radiculopathy- 2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Applicable To
- Brachial neuritis or radiculitis NOS
- Lumbar neuritis or radiculitis NOS
- Lumbosacral neuritis or radiculitis NOS
- Thoracic neuritis or radiculitis NOS
- Radiculitis NOS
Type 1 Excludes
Convert M54.16 to ICD-9-CM
Code History- 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
- 2017 (effective 10/1/2016): No change
- 2018 (effective 10/1/2017): No change
- 2019 (effective 10/1/2018): No change
- 2020 (effective 10/1/2019): No change
Code annotations containing back-references to M54.16:
- Type 1 Excludes: G54, M51.1
ICD-10-CM Diagnosis Code G54
- 2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 1 Excludes
- current traumatic nerve root and plexus disorders - see nerve injury by body region
- intervertebral disc disorders (M50-M51)
- neuralgia or neuritis NOS (M79.2)
- neuritis or radiculitis brachial NOS (M54.13)
- neuritis or radiculitis lumbar NOS (M54.16)
- neuritis or radiculitis lumbosacral NOS (M54.17)
- neuritis or radiculitis thoracic NOS (M54.14)
- radiculitis NOS (M54.10)
- radiculopathy NOS (M54.10)
- spondylosis (M47.-)
ICD-10-CM Diagnosis Code M51.1
- Radiculopathy M54.10
ICD-10-CM Diagnosis Code M54.10
Radiculopathy, site unspecified
- 2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM Codes Adjacent To M54.16
M54.07 …… lumbosacral region
M54.08 …… sacral and sacrococcygeal region
M54.09 Panniculitis affecting regions, neck and back, multiple sites in spine
M54.1 Radiculopathy
M54.10 …… site unspecified
M54.11 …… occipito-atlanto-axial region
M54.12 …… cervical region
M54.13 …… cervicothoracic region
M54.14 …… thoracic region
M54.15 …… thoracolumbar region
M54.16 …… lumbar region
M54.17 …… lumbosacral region
M54.18 …… sacral and sacrococcygeal region
M54.2 Cervicalgia
M54.3 Sciatica
M54.30 …… unspecified side
M54.31 …… right side
M54.32 …… left side
M54.4 Lumbago with sciatica
M54.40 …… unspecified side
M54.41 …… right side
Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.
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