ICD-10-CM M54.81 is the diagnosis code for Occipital neuralgia. This code falls under the section "Other dorsopathies" within Chapter 13 — Diseases of the musculoskeletal system and connective tissue (M00-M99). It is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.
Always refer to the official ICD-10-CM Tabular List for complete coding guidelines. Ensure documentation supports the specificity of the code selected. When in doubt, consult a certified medical coder or the latest CMS guidelines.
Understanding where M54.81 sits in the ICD-10-CM classification helps ensure proper coding:
Yes, M54.81 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
M54.81 is the ICD-10-CM diagnosis code for "Occipital neuralgia". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
The parent code of M54.81 is M54.8 ("Other dorsalgia"). M54.81 provides a more specific classification within this category.
M54.81 is located in Section M50-M54 — "Other dorsopathies" within Chapter 13 of the ICD-10-CM Tabular List.
Use M54.81 when the patients documented diagnosis matches "Occipital neuralgia" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.
The ICD-10-CM code for Occipital neuralgia is M54.81.
Yes, M54.81 can be used as a primary diagnosis code since it is billable and specific.
M54.81 is in Chapter 13 of the ICD-10-CM Tabular List.
Yes, M54.81 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.