Neck Pain ICD-10-CM Codes
Gain a deeper understanding of ICD-10-CM codes used for neck pain diagnoses. Learn about their clinical descriptions, billability, and more.
Fact Checked by RJ Gumban.
What ICD-10 Codes are Used for Neck Pain?
The primary ICD-10-CM code used for neck pain is M54.2 - Cervicalgia. However, several other related codes could be applied, depending on the specific clinical situation:
- M50.1 - Cervical disc disorder with radiculopathy: A condition where a disc in the cervical spine develops a problem that impinges on the nerve roots, causing pain that radiates down the arm.
- M50.2 - Cervical disc displacement: This happens when one of the cervical discs moves from its normal position, causing pain and potentially impinging on a nerve.
- G54.2 - Cervical root disorders, not elsewhere classified: This covers various disorders affecting the nerve roots in the cervical spine, resulting in pain and other symptoms.
- M53.1 - Cervicobrachial syndrome (diffuse): This condition includes neck pain that radiates or spreads to the arms.
- S13.4 - Sprain of ligaments of cervical spine: This involves injury to the ligaments in the neck, typically resulting from a sudden movement or trauma.
Which Neck Pain ICD codes are Billable?
- M54.2 - Cervicalgia: Yes
- M50.1 - Cervical disc disorder with radiculopathy: Yes
- M50.2 - Cervical disc displacement: Yes
- G54.2 - Cervical root disorders, not elsewhere classified: Yes
- M53.1 - Cervicobrachial syndrome (diffuse): Yes
- S13.4 - Sprain of ligaments of the cervical spine: Yes
Clinical Information
- Neck pain can be acute (lasting less than three months) or chronic (lasting more than three months).
- The pain can be dull, achy, sharp, or burning, typically localized in the cervical spine.
- It may radiate to the upper back, shoulders, arms, forearms, or hands.
- Numbness or tingling sensations may be experienced in the arms, forearms, or hands.
- The neck might become stiff, and movements may exacerbate the pain.
- Neck pain is a prevalent condition and can result in significant financial burdens due to treatment costs and days of lost work.
Synonyms Include:
- Chronic neck pain
- Acute cervical spine pain
- Neck discomfort
- Cervicalgia
- Pain in cervical spine
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Commonly asked questions
Neck pain ICD codes are used when diagnosing a patient who is experiencing pain in the neck area. The specific code used will depend on the exact cause, location, and patient pain characteristics.
Treatments can vary depending on the diagnosis, including physical therapy, pain management (like NSAIDs or other analgesics), surgery, or lifestyle modifications such as posture correction or ergonomic changes.
A diagnosis code for neck pain classifies the type of neck pain a patient is experiencing. It is used for billing, health insurance claims, and statistical purposes in the healthcare sector.
