G54.5
G54.5: Neuralgic amyotrophy
Billable / specific codeICD-10-CM
G54.5 is a billable, specific ICD-10-CM code for neuralgic amyotrophy. It is valid for submission on a claim.
Check G54.5 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Parsonage-Aldren-Turner syndrome
- Shoulder-girdle neuritis
Excludes1 inherited from the categories above G54.5
A category’s note binds every code beneath it.
Written on G54: Nerve root and plexus disorders
- 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 G54.5
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.
Medicare coverage
G54.5 is named in 17 Medicare coverage policies: 17 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
Alphabetic index entries that lead here
- Parsonage-Turner syndrome(-Aldren)
- Amyotrophia, amyotrophy, amyotrophic›neuralgic
- Neuritis›shoulder-girdle
- Syndrome›Parsonage-Turner(-Aldren)
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under G54
- 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
- G54.6Phantom limb syndrome with pain
- G54.7Phantom limb syndrome without pain
- G54.8Other nerve root and plexus disorders
- G54.9Nerve root and plexus disorder, unspecified