ICD-10 M54.12
Billable / SpecificRadiculopathy, cervical region
About ICD-10-CM M54.12
ICD-10-CM code M54.12 represents Radiculopathy, cervical region. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M54). The 2026 edition of ICD-10-CM M54.12 became effective on October 1, 2025.
Medicare LCD Coverage for M54.12
Local Coverage Determinations (LCDs) from CMS MACs that list M54.12 as a covered diagnosis.
Showing top 10 of 806 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing M54.12.
2 Cigna
5 Medicare
CPT Codes Commonly Billed with M54.12
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 72141 MRI cervical spine without contrast — cervicalgia, cervical radiculopathy, cervical disc disorder, spinal stenosis cervical, cervical sprain, spondylosis Radiology
- 98940 CMT spinal 1-2 regions — low back pain, cervicalgia, somatic dysfunction cervical/thoracic/lumbar/sacral, cervical radiculopathy, lumbosacral neuritis Chiropractic
- 98941 CMT spinal 3-4 regions — same as 98940, multiple regions Chiropractic
- 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 M54.12 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 |
|---|---|---|
| M54.12 | 7234 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To M54.12
Other codes in section M50-M54 (Other dorsopathies).
ICD-10 M54.12, Billing FAQ
Is ICD-10 code M54.12 billable? +
Yes, M54.12 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 M54.12? +
Procedures frequently paired with M54.12 include: 72141, 98940, 98941, 64479, 64484.
What ICD-9 codes does M54.12 map to? +
Per CMS GEMs, M54.12 maps to ICD-9 codes: 7234. 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 July 16, 2026.
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