M54.15
M54.15: Radiculopathy, thoracolumbar region
Billable / specific codeICD-10-CM
M54.15 is a billable, specific ICD-10-CM code for radiculopathy, thoracolumbar region. It is valid for submission on a claim.
Check M54.15 with the rest of the claim: free scrubberExcludes1 inherited from the categories above M54.15
A category’s note binds every code beneath it.
Written on M54.1: Radiculopathy
Other codes that can never be billed with M54.15
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
M54.15 is named in 45 Medicare coverage policies: 38 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›thoracolumbar region
The condition this code belongs to
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under M54.1
- M54.10Radiculopathy, site unspecified
- M54.11Radiculopathy, occipito-atlanto-axial region
- M54.12Radiculopathy, cervical region
- M54.13Radiculopathy, cervicothoracic region
- M54.14Radiculopathy, thoracic region
- M54.16Radiculopathy, lumbar region
- M54.17Radiculopathy, lumbosacral region
- M54.18Radiculopathy, sacral and sacrococcygeal region