ICD-10 G54.5
Billable / SpecificNeuralgic amyotrophy
About ICD-10-CM G54.5
ICD-10-CM code G54.5 represents Neuralgic amyotrophy. This is a billable/specific code in the Nervous System chapter (block G54). The 2026 edition of ICD-10-CM G54.5 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under G54.5. Per CMS ICD-10-CM Tabular 2026.
- Parsonage-Aldren-Turner syndrome
- Shoulder-girdle neuritis
Type 1 Excludes
Pure excludes, these codes can never be coded together with G54.5. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- neuralgic amyotrophy in diabetes mellitus (E08-E13 with .44)
Medicare LCD Coverage for G54.5
Local Coverage Determinations (LCDs) from CMS MACs that list G54.5 as a covered diagnosis.
Showing top 10 of 634 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing G54.5.
1 Cigna
5 Medicare
CPT Codes Commonly Billed with G54.5
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 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
- G0157 CMS LCD: Billing and Coding: Home Health Physical Therapy CMS LCD
- 98977 CMS LCD: Billing and Coding: Physical Therapy - Home Health CMS LCD
- G2251 CMS LCD: Billing and Coding: Physical Therapy - Home Health CMS LCD
- 98970 CMS LCD: Billing and Coding: Physical Therapy - Home Health CMS LCD
- 98976 CMS LCD: Billing and Coding: Physical Therapy - Home Health CMS LCD
- 98981 CMS LCD: Billing and Coding: Physical Therapy - Home Health CMS LCD
- 98972 CMS LCD: Billing and Coding: Physical Therapy - Home Health CMS LCD
Convert G54.5 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 |
|---|---|---|
| G54.5 | 3535 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To G54.5
Other codes in section G50-G59 (Nerve, nerve root and plexus disorders).
ICD-10 G54.5, Billing FAQ
Is ICD-10 code G54.5 billable? +
Yes, G54.5 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 G54.5? +
ICD-10 G54.5 includes: Parsonage-Aldren-Turner syndrome; Shoulder-girdle neuritis.
What codes are Type 1 Excludes for G54.5? +
Type 1 Excludes (never code together with G54.5): neuralgic amyotrophy in diabetes mellitus (E08-E13 with .44)
What CPT codes are commonly billed with G54.5? +
Procedures frequently paired with G54.5 include: G0151, G0159, G2168, G0157, 98977.
What ICD-9 codes does G54.5 map to? +
Per CMS GEMs, G54.5 maps to ICD-9 codes: 3535. Useful for legacy data review and historical claim analysis.
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team