ICD-10 G54.0
Billable / SpecificBrachial plexus disorders
About ICD-10-CM G54.0
ICD-10-CM code G54.0 represents Brachial plexus disorders. This is a billable/specific code in the Nervous System chapter (block G54). The 2026 edition of ICD-10-CM G54.0 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under G54.0. Per CMS ICD-10-CM Tabular 2026.
- Thoracic outlet syndrome
Medicare LCD Coverage for G54.0
Local Coverage Determinations (LCDs) from CMS MACs that list G54.0 as a covered diagnosis.
Showing top 10 of 709 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing G54.0.
1 Aetna
1 Cigna
5 Medicare
CPT Codes Commonly Billed with G54.0
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 93922 CMS LCD: Billing and Coding: Non-Invasive Peripheral Arterial Vascular Studies CMS LCD
- 93931 CMS LCD: Billing and Coding: Non-Invasive Peripheral Arterial Vascular Studies CMS LCD
- 93923 CMS LCD: Billing and Coding: Non-Invasive Peripheral Arterial Vascular Studies CMS LCD
- 93930 CMS LCD: Billing and Coding: Non-Invasive Peripheral Arterial Vascular Studies CMS LCD
- 93925 CMS LCD: Billing and Coding: Non-Invasive Peripheral Arterial Vascular Studies CMS LCD
- 93926 CMS LCD: Billing and Coding: Non-Invasive Peripheral Arterial Vascular Studies CMS LCD
- 93924 CMS LCD: Billing and Coding: Non-Invasive Peripheral Arterial Vascular Studies CMS LCD
- G0151 CMS LCD: Billing and Coding: Home Health Physical Therapy CMS LCD
- G0159 CMS LCD: Billing and Coding: Home Health Physical Therapy CMS LCD
- G2168 CMS LCD: Billing and Coding: Home Health Physical Therapy CMS LCD
Convert G54.0 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| G54.0 | 3530 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To G54.0
Other codes in section G50-G59 (Nerve, nerve root and plexus disorders).
ICD-10 G54.0, Billing FAQ
Is ICD-10 code G54.0 billable? +
Yes, G54.0 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 G54.0? +
ICD-10 G54.0 includes: Thoracic outlet syndrome.
What CPT codes are commonly billed with G54.0? +
Procedures frequently paired with G54.0 include: 93922, 93931, 93923, 93930, 93925.
What ICD-9 codes does G54.0 map to? +
Per CMS GEMs, G54.0 maps to ICD-9 codes: 3530. 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 June 2, 2026.
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