ICD-10 M51.16
Billable / SpecificIntervertebral disc disorders with radiculopathy, lumbar region
About ICD-10-CM M51.16
ICD-10-CM code M51.16 represents Intervertebral disc disorders with radiculopathy, lumbar region. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M51). The 2026 edition of ICD-10-CM M51.16 became effective on October 1, 2025.
Medicare LCD Coverage for M51.16
Local Coverage Determinations (LCDs) from CMS MACs that list M51.16 as a covered diagnosis.
Showing top 10 of 748 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing M51.16.
3 Cigna
5 Medicare
CPT Codes Commonly Billed with M51.16
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 64483 Transforaminal epidural — low back pain, sciatica, disc herniation Pain Medicine
- 72148 MRI lumbar spine without contrast — low back pain, lumbago, lumbar radiculopathy, lumbar disc herniation, spinal stenosis, lumbar sprain, spondylosis Radiology
- 64483 Transforaminal epidural injection lumbar — low back pain, lumbosacral radiculopathy, lumbar disc herniation, nerve root compression, spinal stenosis, spondylosis Pain Management
- 62322 Interlaminar epidural injection lumbar — low back pain, radiculopathy, cervicalgia, disc herniation, spinal stenosis, spondylosis Pain Management
- 64479 CMS LCD: Billing and Coding: Epidural Steroid Injections for Pain Management CMS LCD
- 64484 CMS LCD: Billing and Coding: Epidural Steroid Injections for Pain Management CMS LCD
- 62321 CMS LCD: Billing and Coding: Epidural Steroid Injections for Pain Management CMS LCD
- 62323 CMS LCD: Billing and Coding: Epidural Steroid Injections for Pain Management CMS LCD
- 62320 CMS LCD: Billing and Coding: Epidural Steroid Injections for Pain Management CMS LCD
Convert M51.16 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| M51.16 | 72293 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To M51.16
Other codes in section M50-M54 (Other dorsopathies).
ICD-10 M51.16, Billing FAQ
Is ICD-10 code M51.16 billable? +
Yes, M51.16 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What CPT codes are commonly billed with M51.16? +
Procedures frequently paired with M51.16 include: 64483, 72148, 64483, 62322, 64479.
What ICD-9 codes does M51.16 map to? +
Per CMS GEMs, M51.16 maps to ICD-9 codes: 72293. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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