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

ICD-10 G46.7

Billable / Specific

Other lacunar syndromes

G46
Block
0
Synonyms
134
LCDs
8
Payer Policies
1
Linked CPTs

About ICD-10-CM G46.7

ICD-10-CM code G46.7 represents Other lacunar syndromes. This is a billable/specific code in the Nervous System chapter (block G46). The 2026 edition of ICD-10-CM G46.7 became effective on October 1, 2025.

Medicare LCD Coverage for G46.7

Local Coverage Determinations (LCDs) from CMS MACs that list G46.7 as a covered diagnosis.

134 LCDs

Showing top 10 of 134 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Visual Fields Testing
Article ID: 56551, Effective: 2025-10-01 00:00:00, 1427 covered, 0 non-covered
CPT 92082 →
CMS LCD: Billing and Coding: Visual Fields Testing
Article ID: 56551, Effective: 2025-10-01 00:00:00, 1427 covered, 0 non-covered
CPT 92083 →
CMS LCD: Billing and Coding: Visual Fields Testing
Article ID: 56551, Effective: 2025-10-01 00:00:00, 1427 covered, 0 non-covered
CPT 92081 →
CMS LCD: Billing and Coding: Implantable Infusion Pump
Article ID: 56695, Effective: 2025-10-01 00:00:00, 2017 covered, 0 non-covered
CPT 62326 →
CMS LCD: Billing and Coding: Implantable Infusion Pump
Article ID: 56695, Effective: 2025-10-01 00:00:00, 2017 covered, 0 non-covered
CPT E0782 →
CMS LCD: Billing and Coding: Implantable Infusion Pump
Article ID: 56695, Effective: 2025-10-01 00:00:00, 2017 covered, 0 non-covered
CPT 62367 →
CMS LCD: Billing and Coding: Implantable Infusion Pump
Article ID: 56695, Effective: 2025-10-01 00:00:00, 2017 covered, 0 non-covered
CPT J9200 →
CMS LCD: Billing and Coding: Implantable Infusion Pump
Article ID: 56695, Effective: 2025-10-01 00:00:00, 2017 covered, 0 non-covered
CPT 62322 →
CMS LCD: Billing and Coding: Implantable Infusion Pump
Article ID: 56695, Effective: 2025-10-01 00:00:00, 2017 covered, 0 non-covered
CPT 62323 →
CMS LCD: Billing and Coding: Implantable Infusion Pump
Article ID: 56695, Effective: 2025-10-01 00:00:00, 2017 covered, 0 non-covered
CPT 62355 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing G46.7.

8 policies

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: Implantable Infusion Pump
Policy ID: ART-56695
Billing and Coding: Visual Fields Testing
Policy ID: ART-56799

CPT Codes Commonly Billed with G46.7

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

1 linkages
  • 93882 CMS LCD: Billing and Coding: Non-Invasive Cerebrovascular Arterial Studies CMS LCD

Convert G46.7 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
G46.7 4378 10000

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

Codes Adjacent To G46.7

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 G46.7, Billing FAQ

Is ICD-10 code G46.7 billable? +

Yes, G46.7 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What CPT codes are commonly billed with G46.7? +

Procedures frequently paired with G46.7 include: 93882.

What ICD-9 codes does G46.7 map to? +

Per CMS GEMs, G46.7 maps to ICD-9 codes: 4378. 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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