M53.0
M53.0: Cervicocranial syndrome
Billable / specific codeICD-10-CM
M53.0 is a billable, specific ICD-10-CM code for cervicocranial syndrome. It is valid for submission on a claim.
Check M53.0 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Posterior cervical sympathetic syndrome
Other codes that can never be billed with M53.0
Their own Excludes1 notes name this code, so the conflict is not listed above.
- G55Nerve root and plexus compressions in diseases classified elsewhere
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
M53.0 is named in 19 Medicare coverage policies: 12 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
- Barré-Liéou syndrome(posterior cervical sympathetic)
- Syndrome›Barré-Liéou
- Syndrome›cervicocranial
- Syndrome›craniovertebral
- Syndrome›cervical›posterior, sympathicus
- Syndrome›posterior›cervical sympathetic
Code history
Unchanged in every release from FY2024 to FY2027.