G63
G63 — Polyneuropathy in diseases classified elsewhere
Billable / specific codeICD-10-CM
G63 is a billable, specific ICD-10-CM code for polyneuropathy in diseases classified elsewhere. 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.
- polyneuropathy (in):
- diabetes mellitus (E08-E13 with .42)
- diphtheria (A36.83)
- infectious mononucleosis complicated by polyneuropathy (B27.0-B27.9 with fifth character 1)
- Lyme disease (A69.22)
- mumps (B26.84)
- postherpetic (B02.23)
- rheumatoid arthritis (M05.5-)
- scleroderma (M34.83)
- systemic lupus erythematosus (M32.19)
Code first
The underlying condition must be sequenced before this code.
Risk adjustment
G63 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
G63 is named in 23 Medicare coverage policies — 19 listing it as supporting medical necessity, and 4 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56034Billing and Coding: Nerve Blockade for Treatment of Chronic Pain and Neuropathynot covered
- A56731Billing and Coding: Nerve Blocks and Electrostimulation for Peripheral Neuropathynot covered
- A57589Billing and Coding: Nerve Blocks for Peripheral Neuropathynot covered
- A57663Billing and Coding: Nerve Blocks for Peripheral Neuropathynot covered
Questions about G63
- Is G63 a billable ICD-10-CM code?
- Yes. G63 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does G63 sit in the tabular list?
- Diseases of the nervous system (G00-G99), in the block Polyneuropathies and other disorders of the peripheral nervous system (G60-G65).
- What cannot be coded together with G63?
- G63 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.