ICD-10-CM Diagnosis Code M54.11 - Radiculopathy, occipito-atlanto-axial region (original) (raw)

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ICD List 2025-2026 Edition

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Radiculopathy, occipito-atlanto-axial region

ICD-10-CM Code:

M54.11

ICD-10 Code for:

Radiculopathy, occipito-atlanto-axial region

Is Billable?

Yes - Valid for Submission

Chronic Condition Indicator: [1]

Chronic

Code Navigator:

M54.11 is a billable diagnosis code used to specify a medical diagnosis of radiculopathy, occipito-atlanto-axial region. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2025 through September 30, 2026.

This medical diagnosis code is frequently used in Orthopedics medical specialties to designate conditions such radiculopathy (primary).

  1. Code Information
  2. Clinical Classification
  3. Clinical Information
  4. Tabular List of Diseases and Injuries
  5. Index to Diseases and Injuries References
  7. Convert to ICD-9 Code
  8. Patient Education
  9. Other Codes Used Similar Conditions
  10. Code History

Clinical Classifications group individual ICD-10-CM diagnosis codes into broader, clinically meaningful categories. These categories help simplify complex data by organizing related conditions under common clinical themes.

They are especially useful for data analysis, reporting, and clinical decision-making. Even when diagnosis codes differ, similar conditions can be grouped together based on their clinical relevance. Each category is assigned a unique CCSR code that represents a specific clinical concept, often tied to a body system or medical specialty.

CCSR Code: MUS011

Inpatient Default: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.

Outpatient Default: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.

disease involving a spinal nerve root (see spinal nerve roots) which may result from compression related to intervertebral disk displacement; spinal cord injuries; spinal diseases; and other conditions. clinical manifestations include radicular pain, weakness, and sensory loss referable to structures innervated by the involved nerve root.

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

References found for this diagnosis code in the External Cause of Injuries Index:

Below are the ICD-9 codes that most closely match this ICD-10 code, based on the General Equivalence Mappings (GEMs). This ICD-10 to ICD-9 crosswalk tool is helpful for coders who need to reference legacy diagnosis codes for audits, historical claims, or approximate code comparisons.

ICD-9-CM: 723.4

Approximate Flag - The approximate mapping means this ICD-10 code does not have an exact ICD-9 equivalent. The matched code is the closest available option, but it may not fully capture the original diagnosis or clinical intent.

Neck Injuries and Disorders

Any part of your neck - muscles, bones, joints, tendons, ligaments, or nerves - can cause neck problems. Neck pain is very common. Pain may also come from your shoulder, jaw, head, or upper arms.

Muscle strain or tension often causes neck pain. The problem is usually overuse, such as from sitting at a computer for too long. Sometimes you can strain your neck muscles from sleeping in an awkward position or overdoing it during exercise. Falls or accidents, including car accidents, are another common cause of neck pain. Whiplash, a soft tissue injury to the neck, is also called neck sprain or strain.

Treatment depends on the cause, but may include applying ice, taking pain relievers, getting physical therapy or wearing a cervical collar. You rarely need surgery.

[Learn More in MedlinePlus]

Peripheral Nerve Disorders

What are peripheral nerves?

Nerves are like wires that carry messages back and forth between your brain and your body. Your peripheral nerves branch off from your brain and spinal cord and connect to all parts of your body, including your muscles and organs. Peripheral nerves carry messages from your brain that control your movement, breathing, heartbeat, digestion, and more. They also carry messages from your body to your brain, so you can feel things, such as pain, heat, and cold.

What are peripheral nerve disorders?

Peripheral nerve disorders happen when one or more peripheral nerves are damaged. Damaged nerves may not carry messages correctly, or they may not work at all. As a result, you may have pain, trouble walking, or a variety of other problems, depending on which nerves are involved.

Peripheral nerve disorders are very common. There are more than 100 different types.

What causes peripheral nerve disorders?

Many things can damage nerves and lead to peripheral nerve disorders:

In certain cases, the cause of peripheral nerve disorder is not known.

What are the symptoms of peripheral nerve disorders?

The symptoms of peripheral nerve disorders depend on which nerves are affected, what is causing the damage, and how serious it is:

Types of nerves Possible symptoms of nerve damage
Motor nerves control your muscles and all your movement, such as walking, talking, and using your hands. Weak or aching musclesProblems with balance, walking, or using your arms and handsCramps or twitching musclesMuscle shrinking
Sensory nerves carry messages to your brain from your senses, including touch, hot and cold, and pain. Tingling, numbness, or pain often in the hands and feetNot being able to feel heat, cold, or pain, such as a cut on your footPain from even light touch
Autonomic nerves send messages to your organs to control breathing, digestion, and other body functions that happen without thinking about them. A heartbeat that's too fast or too slowTrouble swallowingSweating too much or too littleVomiting, diarrhea, or constipationProblems with urination or sexual function

Symptoms may range from mild to very strong. They may develop quickly over days or slowly over months and years. But they are rarely life-threatening.

How are peripheral nerve disorders diagnosed?

To find out if you have a peripheral nerve disorder, your provider will:

What are the treatments for peripheral nerve disorders?

It's important to treat any conditions that are causing nerve damage. In certain cases, that will allow your nerves to heal over time.

Treatment for symptoms depends on the type of peripheral nerve disorder you have, where it is, and how severe. Treatment options include:

Can peripheral nerve disorders be prevented?

You can help prevent peripheral nerve disorders by:

NIH: National Institute of Neurological Disorders and Stroke

[Learn More in MedlinePlus]