G24.5 — Blepharospasm
G24.5 is a billable, specific ICD-10-CM code for blepharospasm. It is valid for submission on a claim.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- drug induced blepharospasm (G24.01)
Risk adjustment
G24.5 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
G24.5 is named in 40 Medicare coverage policies — 40 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A54095Billing and Coding: Nerve Conduction Studies and Electromyography
- A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
- A54969Billing and Coding: Nerve Conduction Studies and Electromyography
- A56439Billing and Coding: Blepharoplasty
How G24.5 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to G24.5.
- Blepharospasm
Related codes at this level
Codes that share G24. If G24.5 is not quite right, the correct code is usually one of these.
Questions about G24.5
- Is G24.5 a billable ICD-10-CM code?
- Yes. G24.5 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does G24.5 sit in the tabular list?
- Diseases of the nervous system (G00-G99), in the block Extrapyramidal and movement disorders (G20-G26).
- What cannot be coded together with G24.5?
- G24.5 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.