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

ICD-10 G54.3

Billable / Specific

Thoracic root disorders, not elsewhere classified

G54
Block
0
Synonyms
632
LCDs
22
Payer Policies
52
Linked CPTs

About ICD-10-CM G54.3

ICD-10-CM code G54.3 represents Thoracic root disorders, not elsewhere classified. This is a billable/specific code in the Nervous System chapter (block G54). The 2026 edition of ICD-10-CM G54.3 became effective on October 1, 2025.

Medicare LCD Coverage for G54.3

Local Coverage Determinations (LCDs) from CMS MACs that list G54.3 as a covered diagnosis.

632 LCDs

Showing top 10 of 632 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Chiropractic Services
Article ID: 56273, Effective: 2025-08-28 00:00:00, 315 covered, 0 non-covered
CPT 98942 →
CMS LCD: Billing and Coding: Chiropractic Services
Article ID: 56273, Effective: 2025-08-28 00:00:00, 315 covered, 0 non-covered
CPT 98940 →
CMS LCD: Billing and Coding: Chiropractic Services
Article ID: 56273, Effective: 2025-08-28 00:00:00, 315 covered, 0 non-covered
CPT 98941 →
CMS LCD: Billing and Coding: Chiropractic Services
Article ID: 56273, Effective: 2025-08-28 00:00:00, 315 covered, 0 non-covered
CPT 98943 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95909 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95887 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95912 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95999 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95910 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95870 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing G54.3.

22 policies

1 Cigna

Electrodiagnostic Testing (EMG/NCV) - (CPG129)
Policy ID: CPG129_EMG_NCV_SSEP

5 Medicare

Billing and Coding: Home Health Occupational Therapy
Policy ID: ART-53057
Billing and Coding: Home Health Physical Therapy
Policy ID: ART-53058
Billing and Coding: Outpatient Occupational Therapy
Policy ID: ART-53064
Billing and Coding: Outpatient Physical Therapy
Policy ID: ART-53065
Billing and Coding: Nerve Conduction Studies and Electromyography
Policy ID: ART-54095

CPT Codes Commonly Billed with G54.3

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

52 linkages
  • 64596 CMS LCD: Billing and Coding: Peripheral Nerve Stimulation CMS LCD
  • 64598 CMS LCD: Billing and Coding: Peripheral Nerve Stimulation CMS LCD
  • 64570 CMS LCD: Billing and Coding: Peripheral Nerve Stimulation CMS LCD
  • 64597 CMS LCD: Billing and Coding: Peripheral Nerve Stimulation CMS LCD
  • 64569 CMS LCD: Billing and Coding: Peripheral Nerve Stimulation CMS LCD
  • 64581 CMS LCD: Billing and Coding: Peripheral Nerve Stimulation CMS LCD
  • 64590 CMS LCD: Billing and Coding: Peripheral Nerve Stimulation CMS LCD
  • 64555 CMS LCD: Billing and Coding: Peripheral Nerve Stimulation CMS LCD
  • 64595 CMS LCD: Billing and Coding: Peripheral Nerve Stimulation CMS LCD
  • 64585 CMS LCD: Billing and Coding: Peripheral Nerve Stimulation CMS LCD

Convert G54.3 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
G54.3 3533 10000

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

ICD-10 G54.3, Billing FAQ

Is ICD-10 code G54.3 billable? +

Yes, G54.3 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 G54.3? +

Procedures frequently paired with G54.3 include: 64596, 64598, 64570, 64597, 64569.

What ICD-9 codes does G54.3 map to? +

Per CMS GEMs, G54.3 maps to ICD-9 codes: 3533. 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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