M54.16 – Radiculopathy, lumbar region

ICD-10-CM 2027 diagnosis code · Other dorsopathies

Billable code

ICD-10-CM code M54.16

Code: M54.16 (claims format: M5416)
Description: Radiculopathy, lumbar region
Billable: Yes – valid for HIPAA-covered transactions
Valid for: Dates of service October 1, 2026 – September 30, 2027 (FY2027)
Chapter: 13. Diseases of the musculoskeletal system and connective tissue (M00-M99)
Block: M50-M54 Other dorsopathies
Parent codes: M54 › M54.1

Notes inherited from parent codes

Instructional notes at a category or block level apply to every code below it.

M54 – Dorsalgia

Excludes1 (not coded here):

psychogenic dorsalgia (F45.41)

M54.1 – Radiculopathy

Applicable to:

Brachial neuritis or radiculitis NOS
Lumbar neuritis or radiculitis NOS
Lumbosacral neuritis or radiculitis NOS
Thoracic neuritis or radiculitis NOS
Radiculitis NOS

Excludes1 (not coded here):

neuralgia and neuritis NOS (M79.2)
radiculopathy with cervical disc disorder (M50.1)
radiculopathy with lumbar and other intervertebral disc disorder (M51.1-)
radiculopathy with spondylosis (M47.2-)

Block M50-M54

Excludes1 (not coded here):

current injury - see injury of spine by body region
discitis NOS (M46.4-)

Index terms for M54.16

Entries in the ICD-10-CM alphabetic index that lead to this code:

Related codes in M54.1

M54.10 – Radiculopathy, site unspecifiedBillable
M54.11 – Radiculopathy, occipito-atlanto-axial regionBillable
M54.12 – Radiculopathy, cervical regionBillable
M54.13 – Radiculopathy, cervicothoracic regionBillable
M54.14 – Radiculopathy, thoracic regionBillable
M54.15 – Radiculopathy, thoracolumbar regionBillable
M54.17 – Radiculopathy, lumbosacral regionBillable
M54.18 – Radiculopathy, sacral and sacrococcygeal regionBillable

Frequently asked questions

What is ICD-10 code M54.16?

M54.16 is the ICD-10-CM code for radiculopathy, lumbar region, in the block M50-M54 (Other dorsopathies).

Is M54.16 a billable code?

Yes. M54.16 is a billable/specific code that can be used to indicate a diagnosis for reimbursement purposes.

What category does M54.16 belong to?

It belongs to category M54 – Dorsalgia.

Source: CDC/NCHS ICD-10-CM FY2027 code files, tabular list and index. Reference only – code assignment must follow the official ICD-10-CM guidelines and documentation in the medical record.