M54.2
M54.2: Cervicalgia
Billable / specific codeICD-10-CM
M54.2 is a billable, specific ICD-10-CM code for cervicalgia. It is valid for submission on a claim.
Check M54.2 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- cervicalgia due to intervertebral cervical disc disorder (M50.-)
Other codes that can never be billed with M54.2
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
M54.2 is named in 54 Medicare coverage policies: 42 listing it as supporting medical necessity, and 12 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A57701Billing and Coding: Trigger Point Injections (TPI)not covered
- 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
Alphabetic index entries that lead here
- Cervicalgia
- Pain›neck NEC
- Pain›spine›cervical
The condition this code belongs to
Code history
Unchanged in every release from FY2024 to FY2027.