M79.2

M79.2: Neuralgia and neuritis, unspecified

Billable / specific codeICD-10-CM

M79.2 is a billable, specific ICD-10-CM code for neuralgia and neuritis, unspecified. It is valid for submission on a claim.

Check M79.2 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

brachial radiculitis NOS (M54.1)
lumbosacral radiculitis NOS (M54.1)
mononeuropathies (G56-G58)
radiculitis NOS (M54.1)
sciatica (M54.3-M54.4)

Excludes1 inherited from the categories above M79.2

A category’s note binds every code beneath it.

Written on M79: Other and unspecified soft tissue disorders, not elsewhere classified

psychogenic rheumatism (F45.8)
soft tissue pain, psychogenic (F45.41)

Other codes that can never be billed with M79.2

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

G54Nerve root and plexus disorders
M54.1Radiculopathy

Risk adjustment

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

Medicare coverage

M79.2 is named in 31 Medicare coverage policies: 16 listing it as supporting medical necessity, and 15 listing it as NOT covered. Which one applies depends on your Medicare contractor.

A56731Billing and Coding: Nerve Blocks and Electrostimulation for Peripheral Neuropathynot covered
A57589Billing and Coding: Nerve Blocks for Peripheral Neuropathynot covered
A57663Billing and Coding: Nerve Blocks for Peripheral Neuropathynot covered
A57701Billing and Coding: Trigger Point Injections (TPI)not covered