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ICD-10 Guide
ICD-10 CodesM54.14

M54.14

Billable

Radiculopathy, thoracic region

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/17/2025

Code Description

ICD-10 M54.14 is a billable code used to indicate a diagnosis of radiculopathy, thoracic region.

Key Diagnostic Point:

Radiculopathy in the thoracic region refers to the condition where nerve roots in the thoracic spine are compressed or irritated, leading to pain, numbness, or weakness that can radiate along the path of the affected nerve. This condition often presents with dorsalgia (back pain) and may be associated with symptoms such as tingling or burning sensations in the thoracic area. Patients may experience difficulty with movements or activities that require upper body strength. The thoracic spine is less commonly affected by radiculopathy compared to the cervical and lumbar regions, but it can occur due to herniated discs, spinal stenosis, or degenerative disc disease. Conservative management typically includes physical therapy, pain management with medications, and lifestyle modifications. In cases where conservative treatment fails, surgical options such as decompression or discectomy may be considered. Accurate diagnosis and management are crucial to alleviate symptoms and improve the quality of life for affected individuals.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in symptoms and presentation among patients
  • Differentiation from other types of back pain or radiculopathy
  • Need for comprehensive documentation of clinical findings
  • Potential for overlapping diagnoses in the thoracic region

Audit Risk Factors

  • Inadequate documentation of neurological findings
  • Failure to specify the affected nerve root
  • Misdiagnosis due to overlapping symptoms with other conditions
  • Lack of evidence for conservative treatment prior to surgery

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with thoracic pain and neurological deficits, requiring diagnostic imaging.

Billing Considerations

Ensure documentation clearly indicates the relationship between symptoms and nerve root involvement.

Orthopedic Surgery

Documentation Requirements

Surgical notes, pre-operative evaluations, and post-operative follow-ups.

Common Clinical Scenarios

Patients with severe radiculopathy requiring surgical intervention after conservative treatment failure.

Billing Considerations

Document the rationale for surgical intervention and any prior conservative treatments attempted.

Coding Guidelines

Inclusion Criteria

Use M54.14 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the diagnosis is supported by clinical documentation
  • Include specific details about the affected nerve root and any associated conditions

Exclusion Criteria

Do NOT use M54.14 When
  • Exclude codes for conditions that do not directly relate to radiculopathy

Related ICD-10 Codes

Related CPT Codes

63030CPT Code

Laminectomy, thoracic

Clinical Scenario

Used for patients with severe thoracic radiculopathy requiring surgical decompression.

Documentation Requirements

Pre-operative imaging, surgical notes, and post-operative follow-up documentation.

Specialty Considerations

Orthopedic surgeons must document the necessity of surgery based on conservative treatment failure.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of radiculopathy, improving the accuracy of diagnoses and treatment tracking. M54.14 provides a clear distinction for thoracic radiculopathy, which was less defined in ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of radiculopathy, improving the accuracy of diagnoses and treatment tracking. M54.14 provides a clear distinction for thoracic radiculopathy, which was less defined in ICD-9.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of radiculopathy, improving the accuracy of diagnoses and treatment tracking. M54.14 provides a clear distinction for thoracic radiculopathy, which was less defined in ICD-9.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common symptoms of thoracic radiculopathy?

Common symptoms include localized thoracic pain, radiating pain, numbness, tingling, and weakness in the upper body, often exacerbated by certain movements.