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

ICD-10 G45.9

Billable / Specific CC

Transient cerebral ischemic attack, unspecified

G45
Block
3
Synonyms
747
LCDs
49
Payer Policies
38
Linked CPTs

About ICD-10-CM G45.9

ICD-10-CM code G45.9 represents Transient cerebral ischemic attack, unspecified. This is a billable/specific code in the Nervous System chapter (block G45). The 2026 edition of ICD-10-CM G45.9 became effective on October 1, 2025.

Coding Tips for G45.9

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

Inpatient DRG impact: CC

G45.9 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under G45.9. Per CMS ICD-10-CM Tabular 2026.

  • Spasm of cerebral artery
  • TIA
  • Transient cerebral ischemia NOS

Inpatient DRG Impact, CC

codes Transient cerebral ischemic attack, unspecified. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.

Medicare LCD Coverage for G45.9

Local Coverage Determinations (LCDs) from CMS MACs that list G45.9 as a covered diagnosis.

747 LCDs

Showing top 10 of 747 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 G45.9.

49 policies

2 Aetna

Holter Monitors - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0019
Cardiac Event Monitors - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0073

3 Cigna

Duplex Scan of Extracranial Arteries - (0542)
Policy ID: MM_0542
Transthoracic Echocardiography in Adults - (0510)
Policy ID: MM_0510
Transthoracic Echocardiography in Children - (0523)
Policy ID: MM_0523

5 Medicare

Billing and Coding: Cardiac Catheterization and Coronary Angiography
Policy ID: ART-52850
Billing and Coding: Transesophageal Echocardiography (TEE)
Policy ID: ART-52868
Billing and Coding: Non-Invasive Cerebrovascular Arterial Studies
Policy ID: ART-52992
Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Policy ID: ART-54111
Billing and Coding: Cardiac Event Detection
Policy ID: ART-56452

CPT Codes Commonly Billed with G45.9

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

38 linkages
  • 93880 Duplex carotid — stroke, TIA, carotid stenosis, cerebral atherosclerosis, syncope, migraine, dizziness, headache, family hx vascular disease Cardiology
  • 93243 CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring CMS LCD
  • 93242 CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring CMS LCD
  • 93245 CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring CMS LCD
  • 93270 CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring CMS LCD
  • 0940T CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring CMS LCD
  • 93298 CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring CMS LCD
  • 93247 CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring CMS LCD
  • 93226 CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring CMS LCD
  • 93271 CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring CMS LCD

Convert G45.9 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
G45.9 4359 10000

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

Codes Adjacent To G45.9

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 G45.9, Billing FAQ

Is ICD-10 code G45.9 billable? +

Yes, G45.9 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 G45.9? +

ICD-10 G45.9 includes: Spasm of cerebral artery; TIA; Transient cerebral ischemia NOS.

Is G45.9 a CC or MCC for inpatient DRG? +

Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.

What CPT codes are commonly billed with G45.9? +

Procedures frequently paired with G45.9 include: 93880, 93243, 93242, 93245, 93270.

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

Per CMS GEMs, G45.9 maps to ICD-9 codes: 4359. 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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