G90.4

G90.4: Autonomic dysreflexia

Billable / specific codeICD-10-CM

G90.4 is a billable, specific ICD-10-CM code for autonomic dysreflexia. It is valid for submission on a claim.

Check G90.4 with the rest of the claim: free scrubber

Use additional code

Add a secondary code to capture the detail described below.

code to identify the cause, such as:
fecal impaction (K56.41)
pressure ulcer (pressure area) (L89.-)
urinary tract infection (N39.0)

Excludes1 inherited from the categories above G90.4

A category’s note binds every code beneath it.

Written on G90: Disorders of autonomic nervous system

dysfunction of the autonomic nervous system due to alcohol (G31.2)

Risk adjustment

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

Medicare coverage

G90.4 is named in 7 Medicare coverage policies: 7 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A53058Billing and Coding: Home Health Physical Therapy
A54969Billing and Coding: Nerve Conduction Studies and Electromyography
A56612Billing and Coding: CT of the Head
A56619Billing and Coding: Nerve Conduction Studies and Electromyography

Alphabetic index entries that lead here

Dysreflexia, autonomic

Code history

Unchanged in every release from FY2024 to FY2027.