CodeMap® 
150 North Wacker Drive
Suite 2360
Chicago, IL 60606
847-381-5465 Phone
847-381-4606 Fax
customerservice@codemap.com
      


User Information

Create New Account

Lost Password

Username:
Password:


Quick Links

LCDs and LCAs
by Contractor

PLA Codes

Laboratory Fee Schedule

2025
2024
QW Tests

Physician Fee Schedule

2025
2024

OPPS Fee Schedule

2025-April
2025-January

ASC Fee Schedule

2025-April
2025-January

APC Codes

2025-April
2025-January

DRG Codes

2025
2024

ASP Drug Pricing Files

2025-April
2025-January


CMS Transmittals



.

ICD-10 Code or Description Search:

M54.10 Quick jump to specific ICD-10 (CM) Code: M54.12


See Category: Diseases of the musculoskeletal system and connective tissue

See Header: Radiculopathy

ICD-10 (CM) Code and Descriptor

M54.11 Radiculopathy, occipito-atlanto-axial region

M5411 utilizaton on OPPS claims.*

Primary
ICD10 Code
ICD10
Position 2
ICD10
Position 3
ICD10
Position 4
ICD10
Position 5
ICD10
Position 6
ICD10
Position 7
ICD10
Position 8
ICD10
Position 9
ICD10
Position 10
33.90% 37.10% 15.78% 5.33% 1.92% 1.07% 1.28% 1.28% 0.64% 0.85%

* Medicare Part A utilization data is derived from the 100% 2023 Outpatient (Fee-for-Service) Standard Analytical File.

Commonly Associated Procedure Codes for M54.11*:

CPT
Description Number of Claims Sum Performed
97110
THERAPEUTIC EXERCISES 253 395
97140
MANUAL THERAPY 1/> REGIONS 188 352
97530
THERAPEUTIC ACTIVITIES 137 226
G0283
ELEC STIM OTHER THAN WOUND 79 82
97112
NEUROMUSCULAR REEDUCATION 56 63
97035
APP MDLTY 1+ULTRASOUND EA 15 42 49
97116
GAIT TRAINING THERAPY 39 56
97535
SELF CARE MNGMENT TRAINING 17 22
97164
PT RE-EVAL EST PLAN CARE 13 13
97161
PT EVAL LOW COMPLEX 20 MIN 12 12
97032
APPL MODALITY 1+ESTIM EA 15 11 21
97162
PT EVAL MOD COMPLEX 30 MIN 10 10
72141
MRI NECK SPINE W/O DYE 10 10
J1100
DEXAMETHASONE SODIUM PHOS 10 93
85025
COMPLETE CBC W/AUTO DIFF WBC 9 9
G1004
CDSM NDSC 8 9
G0463
HOSPITAL OUTPT CLINIC VISIT 7 7
A9270
NON-COVERED ITEM OR SERVICE 7 8
72148
MRI LUMBAR SPINE W/O DYE 7 7
93005
ELECTROCARDIOGRAM TRACING 6 6

* Derived from 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.



M54.11 related to the following DRG Codes:

073-074






CodeMap¨ is a Registered Trademark of Wheaton Partners, LLC.