M54.12
Radiculopathy, cervical region
Clinical Classification Guidelines
Medical Intelligence & Overview
Cervical radiculopathy, classified under ICD-10 code M54.12, is a condition that occurs when a nerve root in the cervical spine (the neck region) becomes irritated or compressed. This irritation often leads to pain, weakness, numbness, or tingling radiating from the neck into the shoulders, arms, or hands. The condition usually results from herniated discs, degenerative changes in the spine, or other structural issues affecting the cervical nerves.
Causes & Symptoms
Clinical Causes: Herniated or slipped discs in the cervical spine Degenerative disc disease or cervical spondylosis Spinal stenosis, leading to narrowing of the spinal canal Bone spurs resulting from arthritis Trauma or injury to the neck Repetitive neck movements causing strain Tumors or infections affecting cervical nerves
Key Symptoms: Pain that radiates from the neck into the shoulder, arm, or hand Numbness or tingling sensations in the arm or fingers Muscle weakness in the arm or hand Increased pain with certain neck movements or positions Loss of reflexes in the affected limb Rarely, muscle spasms or neck stiffness
Diagnostic & Treatment
Diagnosis Path: Magnetic Resonance Imaging (MRI) to visualize nerve compression or disc herniation Computed Tomography (CT) scan, especially if MRI isn't available X-rays to detect degenerative changes or bone spurs Electromyography (EMG) and nerve conduction studies to evaluate nerve function
Treatment Protocols: Rest and activity modification to prevent aggravation Physical therapy focusing on neck strengthening and flexibility Nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce inflammation and pain Corticosteroid injections for severe inflammation Application of heat or cold therapy to alleviate discomfort Use of cervical collars or braces temporarily to stabilize the neck Surgical interventions, such as discectomy or cervical fusion, if conservative treatments fail
Clinical Advice & FAQs
Billing Guidance
Is M54.12 a billable ICD-10 code?
Yes, M54.12 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report M54.12?
Clinical documentation must specify the nature of Radiculopathy, cervical region and any associated comorbidities for accurate reporting.
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