G54.9

G54.9: Nerve root and plexus disorder, unspecified

Billable / specific codeICD-10-CM

G54.9 is a billable, specific ICD-10-CM code for nerve root and plexus disorder, unspecified. It is valid for submission on a claim.

Check G54.9 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above G54.9

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.-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

G54.9 is named in 9 Medicare coverage policies: 9 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A53064Billing and Coding: Outpatient Occupational Therapy
A54095Billing and Coding: Nerve Conduction Studies and Electromyography
A55530Billing and Coding: Peripheral Nerve Stimulation
A56619Billing and Coding: Nerve Conduction Studies and Electromyography

Alphabetic index entries that lead here

Disorder›plexus
Compression›nerve›root or plexus NOS(in)
Compression›spinal›nerve root NOS
Disorder›nerve›root

Code history

Unchanged in every release from FY2024 to FY2027.