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

ICD-10 G45.4

Billable / Specific

Transient global amnesia

G45
Block
0
Synonyms
232
LCDs
15
Payer Policies
9
Linked CPTs

About ICD-10-CM G45.4

ICD-10-CM code G45.4 represents Transient global amnesia. This is a billable/specific code in the Nervous System chapter (block G45). The 2026 edition of ICD-10-CM G45.4 became effective on October 1, 2025.

Type 1 Excludes

Pure excludes, these codes can never be coded together with G45.4. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • amnesia NOS (R41.3)

Medicare LCD Coverage for G45.4

Local Coverage Determinations (LCDs) from CMS MACs that list G45.4 as a covered diagnosis.

232 LCDs

Showing top 10 of 232 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Non-Invasive Vascular Studies
Article ID: 56758, Effective: 2025-10-01 00:00:00, 2110 covered, 0 non-covered
CPT 93924 →
CMS LCD: Billing and Coding: Non-Invasive Vascular Studies
Article ID: 56758, Effective: 2025-10-01 00:00:00, 2110 covered, 0 non-covered
CPT 93925 →
CMS LCD: Billing and Coding: Non-Invasive Vascular Studies
Article ID: 56758, Effective: 2025-10-01 00:00:00, 2110 covered, 0 non-covered
CPT 93978 →
CMS LCD: Billing and Coding: Non-Invasive Vascular Studies
Article ID: 56758, Effective: 2025-10-01 00:00:00, 2110 covered, 0 non-covered
CPT 93893 →
CMS LCD: Billing and Coding: Non-Invasive Vascular Studies
Article ID: 56758, Effective: 2025-10-01 00:00:00, 2110 covered, 0 non-covered
CPT 93986 →
CMS LCD: Billing and Coding: Non-Invasive Vascular Studies
Article ID: 56758, Effective: 2025-10-01 00:00:00, 2110 covered, 0 non-covered
CPT 93985 →
CMS LCD: Billing and Coding: Non-Invasive Vascular Studies
Article ID: 56758, Effective: 2025-10-01 00:00:00, 2110 covered, 0 non-covered
CPT 93922 →
CMS LCD: Billing and Coding: Non-Invasive Vascular Studies
Article ID: 56758, Effective: 2025-10-01 00:00:00, 2110 covered, 0 non-covered
CPT 93990 →
CMS LCD: Billing and Coding: Non-Invasive Vascular Studies
Article ID: 56758, Effective: 2025-10-01 00:00:00, 2110 covered, 0 non-covered
CPT 93896 →
CMS LCD: Billing and Coding: Non-Invasive Vascular Studies
Article ID: 56758, Effective: 2025-10-01 00:00:00, 2110 covered, 0 non-covered
CPT 93923 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing G45.4.

15 policies

1 Cigna

Transthoracic Echocardiography in Children - (0523)
Policy ID: MM_0523

5 Medicare

Billing and Coding: Non-Invasive Cerebrovascular Arterial Studies
Policy ID: ART-52992
Billing and Coding: Visual Fields Testing
Policy ID: ART-56551
Billing and Coding: CT of the Head
Policy ID: ART-56612
Billing and Coding: Non-Invasive Vascular Studies
Policy ID: ART-56697
Billing and Coding: Non-Invasive Vascular Studies
Policy ID: ART-56758

CPT Codes Commonly Billed with G45.4

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

9 linkages
  • 93892 CMS LCD: Billing and Coding: Transcranial Doppler Studies CMS LCD
  • 93888 CMS LCD: Billing and Coding: Transcranial Doppler Studies CMS LCD
  • 93893 CMS LCD: Billing and Coding: Transcranial Doppler Studies CMS LCD
  • 93886 CMS LCD: Billing and Coding: Transcranial Doppler Studies CMS LCD
  • 93897 CMS LCD: Billing and Coding: Transcranial Doppler Studies CMS LCD
  • 93896 CMS LCD: Billing and Coding: Transcranial Doppler Studies CMS LCD
  • 93898 CMS LCD: Billing and Coding: Transcranial Doppler Studies CMS LCD
  • 93882 CMS LCD: Billing and Coding: Non-Invasive Cerebrovascular Arterial Studies CMS LCD
  • 93895 CMS LCD: Billing and Coding: Non-Invasive Cerebrovascular Studies CMS LCD

Convert G45.4 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
G45.4 4377 00000

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

Codes Adjacent To G45.4

Other codes in section G40-G47 (Episodic and paroxysmal disorders).

G40 Epilepsy and recurrent seizures (non-billable) G40.0 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset (non-billable) G40.00 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, not intractable (non-billable) G40.001 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, not intractable, with status epilepticus G40.009 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, not intractable, without status epilepticus G40.01 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, intractable (non-billable) G40.011 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, intractable, with status epilepticus G40.019 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, intractable, without status epilepticus G40.1 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures (non-billable) G40.10 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, not intractable (non-billable) G40.101 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, not intractable, with status epilepticus G40.109 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, not intractable, without status epilepticus G40.11 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, intractable (non-billable) G40.111 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, intractable, with status epilepticus G40.119 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, intractable, without status epilepticus G40.2 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures (non-billable) G40.20 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, not intractable (non-billable) G40.201 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, not intractable, with status epilepticus G40.209 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, not intractable, without status epilepticus G40.21 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, intractable (non-billable)

ICD-10 G45.4, Billing FAQ

Is ICD-10 code G45.4 billable? +

Yes, G45.4 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What codes are Type 1 Excludes for G45.4? +

Type 1 Excludes (never code together with G45.4): amnesia NOS (R41.3)

What CPT codes are commonly billed with G45.4? +

Procedures frequently paired with G45.4 include: 93892, 93888, 93893, 93886, 93897.

What ICD-9 codes does G45.4 map to? +

Per CMS GEMs, G45.4 maps to ICD-9 codes: 4377. 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 July 16, 2026.

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