ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 G25.3

Billable / Specific

Myoclonus

G25
Block
2
Synonyms
275
LCDs
17
Payer Policies
25
Linked CPTs

About ICD-10-CM G25.3

ICD-10-CM code G25.3 represents Myoclonus. This is a billable/specific code in the Nervous System chapter (block G25). The 2026 edition of ICD-10-CM G25.3 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under G25.3. Per CMS ICD-10-CM Tabular 2026.

  • Drug-induced myoclonus
  • Palatal myoclonus

Type 1 Excludes

Pure excludes, these codes can never be coded together with G25.3. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • facial myokymia (G51.4)
  • myoclonic epilepsy (G40.-)

Use Additional Code

When coding G25.3, also report these additional codes when applicable.

  • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

Medicare LCD Coverage for G25.3

Local Coverage Determinations (LCDs) from CMS MACs that list G25.3 as a covered diagnosis.

275 LCDs

Showing top 10 of 275 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92524 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 96112 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92521 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97130 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97129 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92597 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97110 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97533 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 96110 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92522 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing G25.3.

17 policies

1 Cigna

Electrodiagnostic Testing (EMG/NCV) - (CPG129)
Policy ID: CPG129_EMG_NCV_SSEP

5 Medicare

Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Policy ID: ART-54111
Billing and Coding: Nerve Conduction Studies and Electromyography
Policy ID: ART-54969
Billing and Coding: CT of the Head
Policy ID: ART-56612
Billing and Coding: Nerve Conduction Studies and Electromyography
Policy ID: ART-56619
Billing and Coding: Somatosensory Testing
Policy ID: ART-56769

CPT Codes Commonly Billed with G25.3

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

25 linkages
  • 95926 CMS LCD: Billing and Coding: Somatosensory Testing CMS LCD
  • 95925 CMS LCD: Billing and Coding: Somatosensory Testing CMS LCD
  • 95938 CMS LCD: Billing and Coding: Somatosensory Testing CMS LCD
  • 95927 CMS LCD: Billing and Coding: Somatosensory Testing CMS LCD
  • 92571 CMS LCD: Billing and Coding: Vestibular and Audiologic Function Studies CMS LCD
  • 92568 CMS LCD: Billing and Coding: Vestibular and Audiologic Function Studies CMS LCD
  • 92620 CMS LCD: Billing and Coding: Vestibular and Audiologic Function Studies CMS LCD
  • 92588 CMS LCD: Billing and Coding: Vestibular and Audiologic Function Studies CMS LCD
  • 92572 CMS LCD: Billing and Coding: Vestibular and Audiologic Function Studies CMS LCD
  • 92579 CMS LCD: Billing and Coding: Vestibular and Audiologic Function Studies CMS LCD

Convert G25.3 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
G25.3 3332 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 G25.3, Billing FAQ

Is ICD-10 code G25.3 billable? +

Yes, G25.3 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to G25.3? +

ICD-10 G25.3 includes: Drug-induced myoclonus; Palatal myoclonus.

What codes are Type 1 Excludes for G25.3? +

Type 1 Excludes (never code together with G25.3): facial myokymia (G51.4); myoclonic epilepsy (G40.-)

What CPT codes are commonly billed with G25.3? +

Procedures frequently paired with G25.3 include: 95926, 95925, 95938, 95927, 92571.

What ICD-9 codes does G25.3 map to? +

Per CMS GEMs, G25.3 maps to ICD-9 codes: 3332. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on June 1, 2026.

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