M50.11

M50.11: Cervical disc disorder with radiculopathy, high cervical region

Billable / specific codeICD-10-CM

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.

Check M50.11 with the rest of the claim: free scrubber

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

Excludes2 inherited from the categories above M50.11

Not part of this code, but both may be coded when both are present.

Written on M50.1: Cervical disc disorder with radiculopathy

brachial radiculitis NOS (M54.13)

Other codes that can never be billed with M50.11

Their own Excludes1 notes name this code, so the conflict is not listed above.

M54.2Cervicalgia
S13.0Traumatic rupture of cervical intervertebral disc
S13.0XXATraumatic rupture of cervical intervertebral disc, initial encounter
S13.0XXDTraumatic rupture of cervical intervertebral disc, subsequent encounter
S13.0XXSTraumatic rupture of cervical intervertebral disc, sequela

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

M50.11 is named in 33 Medicare coverage policies: 26 listing it as supporting medical necessity, and 7 listing it as NOT covered. Which one applies depends on your Medicare contractor.

A58865Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
A58883Billing 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

Alphabetic index entries that lead here

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

Code history

Unchanged in every release from FY2024 to FY2027.