ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 M54.10

Billable / Specific

Radiculopathy, site unspecified

M54
Block
0
Synonyms
129
LCDs
12
Payer Policies
1
Linked CPTs

About ICD-10-CM M54.10

ICD-10-CM code M54.10 represents Radiculopathy, site unspecified. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M54). The 2026 edition of ICD-10-CM M54.10 became effective on October 1, 2025.

Medicare LCD Coverage for M54.10

Local Coverage Determinations (LCDs) from CMS MACs that list M54.10 as a covered diagnosis.

129 LCDs

Showing top 10 of 129 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95909 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95887 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95912 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95999 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95910 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95870 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95860 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95913 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95869 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT G0255 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing M54.10.

12 policies

4 Aetna

Peripheral Electrical Nerve Stimulation for Pain - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0011
Back Pain - Invasive Procedures - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0016
Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) of the Spine
Policy ID: CPB-0236
Transforaminal Epidural Injections
Policy ID: CPB-0722

1 Cigna

Electrodiagnostic Testing (EMG/NCV) - (CPG129)
Policy ID: CPG129_EMG_NCV_SSEP

5 Medicare

Billing and Coding: Nerve Blockade for Treatment of Chronic Pain and Neuropathy
Policy ID: ART-56034
Billing and Coding: Continuous Peripheral Nerve Blocks (CPNB)
Policy ID: ART-56607
Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
Policy ID: ART-56645
Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
Policy ID: ART-57077
Billing and Coding: Peripheral Nerve Blocks
Policy ID: ART-57452

CPT Codes Commonly Billed with M54.10

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

1 linkages
  • 95886 EMG each extremity — carpal tunnel, sciatica, neuropathy, radiculopathy, muscular dystrophy, ALS, MS, diabetic neuropathy, hereditary neuropathy, myalgia Neurology

Convert M54.10 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
M54.10 7292 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 M54.10, Billing FAQ

Is ICD-10 code M54.10 billable? +

Yes, M54.10 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 M54.10? +

Procedures frequently paired with M54.10 include: 95886.

What ICD-9 codes does M54.10 map to? +

Per CMS GEMs, M54.10 maps to ICD-9 codes: 7292. 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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