ICD-10 G54
Non-Billable HeaderNerve root and plexus disorders
About ICD-10-CM G54
ICD-10-CM code G54 represents Nerve root and plexus disorders. This is a non-billable header code in the Nervous System chapter (block G54). The 2026 edition of ICD-10-CM G54 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Type 1 Excludes
Pure excludes, these codes can never be coded together with G54. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- current traumatic nerve root and plexus disorders - see nerve injury by body region
- intervertebral disc disorders (M50-M51)
- neuralgia or neuritis NOS (M79.2)
- neuritis or radiculitis brachial NOS (M54.13)
- neuritis or radiculitis lumbar NOS (M54.16)
- neuritis or radiculitis lumbosacral NOS (M54.17)
- neuritis or radiculitis thoracic NOS (M54.14)
- radiculitis NOS (M54.10)
- radiculopathy NOS (M54.10)
- spondylosis (M47.-)
Medicare LCD Coverage for G54
Local Coverage Determinations (LCDs) from CMS MACs that list G54 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing G54.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but G54 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with G54
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To G54
Other codes in section G50-G59 (Nerve, nerve root and plexus disorders).
ICD-10 G54, Billing FAQ
Is ICD-10 code G54 billable? +
No, G54 is a non-billable header code. Use a more specific child code from block G54 when submitting claims.
What codes are Type 1 Excludes for G54? +
Type 1 Excludes (never code together with G54): current traumatic nerve root and plexus disorders - see nerve injury by body region; intervertebral disc disorders (M50-M51); neuralgia or neuritis NOS (M79.2)
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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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