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

ICD-10 G25.5

Billable / Specific

Other chorea

G25
Block
1
Synonyms
109
LCDs
7
Payer Policies
21
Linked CPTs

About ICD-10-CM G25.5

ICD-10-CM code G25.5 represents Other chorea. This is a billable/specific code in the Nervous System chapter (block G25). The 2026 edition of ICD-10-CM G25.5 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under G25.5. Per CMS ICD-10-CM Tabular 2026.

  • Chorea NOS

Type 1 Excludes

Pure excludes, these codes can never be coded together with G25.5. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • chorea NOS with heart involvement (I02.0)
  • Huntington's chorea (G10)
  • rheumatic chorea (I02.-)
  • Sydenham's chorea (I02.-)

Medicare LCD Coverage for G25.5

Local Coverage Determinations (LCDs) from CMS MACs that list G25.5 as a covered diagnosis.

109 LCDs

Showing top 10 of 109 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 G25.5.

7 policies

2 Cigna

Anesthesia Services for Interventional Pain Management Procedures in an Adult - (0551)
Policy ID: MM_0551
Neuropsychological Testing - (EN0258)
Policy ID: EN_MM_0258

5 Medicare

Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Policy ID: ART-54111
Billing and Coding: CT of the Head
Policy ID: ART-56612
Billing and Coding: Neurophysiology Evoked Potentials (NEPs)
Policy ID: ART-56773
Billing and Coding: MRI and CT Scans of the Head and Neck
Policy ID: ART-57204
Billing and Coding: Vestibular and Audiologic Function Studies
Policy ID: ART-57434

CPT Codes Commonly Billed with G25.5

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

21 linkages
  • 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
  • 92582 CMS LCD: Billing and Coding: Vestibular and Audiologic Function Studies CMS LCD
  • 92576 CMS LCD: Billing and Coding: Vestibular and Audiologic Function Studies CMS LCD
  • 92621 CMS LCD: Billing and Coding: Vestibular and Audiologic Function Studies CMS LCD
  • 92570 CMS LCD: Billing and Coding: Vestibular and Audiologic Function Studies CMS LCD

Convert G25.5 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
G25.5 3335 10000

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

ICD-10 G25.5, Billing FAQ

Is ICD-10 code G25.5 billable? +

Yes, G25.5 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 G25.5? +

ICD-10 G25.5 includes: Chorea NOS.

What codes are Type 1 Excludes for G25.5? +

Type 1 Excludes (never code together with G25.5): chorea NOS with heart involvement (I02.0); Huntington's chorea (G10); rheumatic chorea (I02.-)

What CPT codes are commonly billed with G25.5? +

Procedures frequently paired with G25.5 include: 92571, 92568, 92620, 92588, 92572.

What ICD-9 codes does G25.5 map to? +

Per CMS GEMs, G25.5 maps to ICD-9 codes: 3335. 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 May 31, 2026.

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