M50.11 — Cervical disc disorder with radiculopathy, high cervical region
M50.11 is a billable, specific ICD-10-CM code for cervical disc disorder with radiculopathy, high cervical region. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- C2-C3 disc disorder with radiculopathy
- C3 radiculopathy due to disc disorder
- C3-C4 disc disorder with radiculopathy
- C4 radiculopathy due to disc disorder
Risk adjustment
M50.11 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
M50.11 is named in 32 Medicare coverage policies — 26 listing it as supporting medical necessity, and 6 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A58865Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A58893Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A59374Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A59434Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
How M50.11 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to M50.11.
- Radiculopathy›due to›disc disorder›C3
- Radiculopathy›due to›disc disorder›C4
- Disorder›disc›with›radiculopathy›high cervical region
- Disorder›disc›cervical›with›neuritis, radiculitis or radiculopathy›C2-C3
- Disorder›disc›cervical›with›neuritis, radiculitis or radiculopathy›C3-C4
- Disorder›disc›cervical›with›neuritis, radiculitis or radiculopathy›high cervical region
Related codes at this level
Codes that share M50.1. If M50.11 is not quite right, the correct code is usually one of these.
Questions about M50.11
- Is M50.11 a billable ICD-10-CM code?
- Yes. M50.11 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does M50.11 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Other dorsopathies (M50-M54).