Billable FY2026 ICD-10-CM diagnosis code, spine region. What it covers, how to bill it cleanly, and what these patients sound like when they call.
Radiculopathy of the cervical region: the neck-and-arm counterpart of M54.16, covering nerve-root symptoms referable to the cervical spine.
| Code | Description |
|---|---|
| M54.10 | Radiculopathy, site unspecified |
| M54.11 | Radiculopathy, occipito-atlanto-axial region |
| M54.13 | Radiculopathy, cervicothoracic region |
| M54.14 | Radiculopathy, thoracic region |
| M54.15 | Radiculopathy, thoracolumbar region |
| M54.16 | Radiculopathy, lumbar region |
Arm pain with numbness or weakness is another routing trap: patients call about their arm or hand, and without a screening question the schedule sends them to hand surgery when the problem is the neck. Radiating quality plus neck involvement flips the route to spine.
ClinicFlow's voice AI runs this intake on every call for spine practices: capturing the story, applying your routing rules, and booking the right visit type with the right surgeon. See voice AI for spine practices or the Call Library for how each call type is handled.
M54.12 is the FY2026 ICD-10-CM code for radiculopathy, cervical region. Radiculopathy of the cervical region: the neck-and-arm counterpart of M54.
Progressive weakness, gait changes, or hand clumsiness suggesting myelopathy escalate beyond routine scheduling. Escalation criteria belong in the practice's phone triage protocol.
Yes. M54.12 appears in the official FY2026 ICD-10-CM code set (effective October 1, 2025). ICD-10-CM is public-domain CMS data; verify annually as codes are revised each fiscal year.
ClinicFlow answers all of them, 24/7, and books them with the right surgeon.
