The medical coding landscape relies on precision, and the ICD-10-CM code M54.12 plays a crucial role in diagnosing and classifying cervical radiculopathy. This code, specifically designated for “Radiculopathy, cervical region,” is an essential tool for healthcare professionals, medical coders, and insurance providers. Understanding the specifics of Diagnosis M5412 is paramount for accurate record-keeping, billing, and effective patient care.
What is Diagnosis M54.12?
Diagnosis code M54.12 falls under the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) system. It is used to denote radiculopathy that occurs in the cervical region of the spine, commonly known as the neck. Radiculopathy itself refers to a condition where one or more nerves are affected and do not work properly (a neuropathy). In the case of M54.12, this nerve dysfunction is specifically located in the cervical spine area. This condition is often characterized by pain, numbness, tingling, or weakness radiating from the neck into the shoulder, arm, and hand.
US flag icon representing the American ICD-10-CM standard for diagnosis code M54.12, Cervical Radiculopathy.
Key Aspects of ICD-10-CM Code M54.12
M54.12 is a billable and specific code, meaning it is recognized for reimbursement purposes and precisely identifies cervical radiculopathy. The code has been active since 2015, with the current version being valid for the 2025 ICD-10-CM edition, effective from October 1, 2024. This indicates the code’s continued relevance and stability within the diagnostic coding system. Synonyms commonly associated with M54.12 include cervical radiculitis, cervical neuritis, and ulnar neuritis, reflecting the various terminologies used to describe this condition.
Furthermore, M54.12 is part of a broader group of codes within ICD-10-CM, specifically under the category of radiculopathy (M54.1). It is important to note its distinction from other related codes such as M54.10 (radiculopathy, site unspecified) and other region-specific radiculopathy codes like M54.11 (occipito-atlanto-axial region) or M54.13 (cervicothoracic region). This specificity ensures that medical documentation accurately reflects the location of the radiculopathy.
Importance of Accurate M54.12 Diagnosis Coding
The correct application of diagnosis m5412 is critical for several reasons. Firstly, it ensures accurate medical records, providing a clear and standardized way to document a patient’s condition. Secondly, for healthcare providers, utilizing M54.12 correctly is essential for claim reimbursement and avoiding coding errors. Finally, from a broader perspective, the consistent and accurate use of M54.12 contributes to reliable healthcare statistics and epidemiological studies related to cervical radiculopathy. By using diagnosis code M54.12 appropriately, healthcare systems can effectively track, manage, and research this common condition.
