M54.06
M54.06: Panniculitis affecting regions of neck and back, lumbar region
Billable / specific codeICD-10-CM
M54.06 is a billable, specific ICD-10-CM code for panniculitis affecting regions of neck and back, lumbar region. It is valid for submission on a claim.
Check M54.06 with the rest of the claim: free scrubberExcludes1 inherited from the categories above M54.06
A category’s note binds every code beneath it.
Written on M54.0: Panniculitis affecting regions of neck and back
Other codes that can never be billed with M54.06
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
M54.06 is named in 15 Medicare coverage policies: 8 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
- Panniculitis›back›lumbar region
The condition this code belongs to
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under M54.0
- M54.00Panniculitis affecting regions of neck and back, site unspecified
- M54.01Panniculitis affecting regions of neck and back, occipito-atlanto-axial region
- M54.02Panniculitis affecting regions of neck and back, cervical region
- M54.03Panniculitis affecting regions of neck and back, cervicothoracic region
- M54.04Panniculitis affecting regions of neck and back, thoracic region
- M54.05Panniculitis affecting regions of neck and back, thoracolumbar region
- M54.07Panniculitis affecting regions of neck and back, lumbosacral region
- M54.08Panniculitis affecting regions of neck and back, sacral and sacrococcygeal region
- M54.09Panniculitis affecting regions, neck and back, multiple sites in spine