ICD-10 M54.2
Billable / SpecificCervicalgia
About ICD-10-CM M54.2
ICD-10-CM code M54.2 represents Cervicalgia. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M54). The 2026 edition of ICD-10-CM M54.2 became effective on October 1, 2025.
Type 1 Excludes
Pure excludes, these codes can never be coded together with M54.2. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- cervicalgia due to intervertebral cervical disc disorder (M50.-)
Medicare LCD Coverage for M54.2
Local Coverage Determinations (LCDs) from CMS MACs that list M54.2 as a covered diagnosis.
Showing top 10 of 1,346 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing M54.2.
2 Aetna
3 Cigna
5 Medicare
CPT Codes Commonly Billed with M54.2
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 64493 Facet injection — back pain, spondylosis Pain Medicine
- 64635 Facet neurolysis — chronic back pain Pain Medicine
- 72141 MRI cervical spine without contrast — cervicalgia, cervical radiculopathy, cervical disc disorder, spinal stenosis cervical, cervical sprain, spondylosis Radiology
- 97110 Therapeutic exercises — back pain, neck pain, joint pain, rotator cuff, knee OA, limb pain, meniscal tear, shoulder injury, ankle sprain, hemiplegia, paraplegia, post joint replacement, muscle weakness Physical Therapy
- 97140 Manual therapy — back pain, neck pain, joint pain, myalgia, spasm, muscle weakness, impingement, somatic dysfunction, chronic pain, spondylosis Physical Therapy
- 97035 Ultrasound therapy — myalgia, spasm, back pain, neck pain, joint pain, impingement, epicondylitis, plantar fasciitis Physical Therapy
- 97161 PT evaluation low complexity — back pain, neck pain, joint pain, rotator cuff, meniscal tear, ankle sprain, limb pain, knee OA, weakness Physical Therapy
- 97162 PT evaluation moderate complexity — same plus post-fracture, post-replacement, hemiplegia Physical Therapy
- 62322 Interlaminar epidural injection lumbar — low back pain, radiculopathy, cervicalgia, disc herniation, spinal stenosis, spondylosis Pain Management
- 98940 CMT spinal 1-2 regions — low back pain, cervicalgia, somatic dysfunction cervical/thoracic/lumbar/sacral, cervical radiculopathy, lumbosacral neuritis Chiropractic
Convert M54.2 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 |
|---|---|---|
| M54.2 | 7231 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To M54.2
Other codes in section M50-M54 (Other dorsopathies).
ICD-10 M54.2, Billing FAQ
Is ICD-10 code M54.2 billable? +
Yes, M54.2 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What codes are Type 1 Excludes for M54.2? +
Type 1 Excludes (never code together with M54.2): cervicalgia due to intervertebral cervical disc disorder (M50.-)
What CPT codes are commonly billed with M54.2? +
Procedures frequently paired with M54.2 include: 64493, 64635, 72141, 97110, 97140.
What ICD-9 codes does M54.2 map to? +
Per CMS GEMs, M54.2 maps to ICD-9 codes: 7231. 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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