G54
G54: Nerve root and plexus disorders
Non-billable headerICD-10-CM
G54 is a non-billable header ICD-10-CM code for nerve root and plexus disorders. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- current traumatic nerve root and plexus disorders - see nerve injury by body region
- intervertebral disc disorders (M50-M51)
- neuralgia or neuritis NOS (M79.2)
- neuritis or radiculitis brachial NOS (M54.13)
- neuritis or radiculitis lumbar NOS (M54.16)
- neuritis or radiculitis lumbosacral NOS (M54.17)
- neuritis or radiculitis thoracic NOS (M54.14)
- radiculitis NOS (M54.10)
- radiculopathy NOS (M54.10)
- spondylosis (M47.-)
Other codes that can never be billed with G54
Their own Excludes1 notes name this code, so the conflict is not listed above.
- M62.5Muscle wasting and atrophy, not elsewhere classified
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead G54
10 child codes. Green means billable.
- G54.0Brachial plexus disorders
- G54.1Lumbosacral plexus disorders
- G54.2Cervical root disorders, not elsewhere classified
- G54.3Thoracic root disorders, not elsewhere classified
- G54.4Lumbosacral root disorders, not elsewhere classified
- G54.5Neuralgic amyotrophy
- G54.6Phantom limb syndrome with pain
- G54.7Phantom limb syndrome without pain
- G54.8Other nerve root and plexus disorders
- G54.9Nerve root and plexus disorder, unspecified