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

ICD-10 G54.7

Billable / Specific HCC v28: 189

Phantom limb syndrome without pain

G54
Block
1
Synonyms
558
LCDs
15
Payer Policies
18
Linked CPTs

About ICD-10-CM G54.7

ICD-10-CM code G54.7 represents Phantom limb syndrome without pain. This is a billable/specific code in the Nervous System chapter (block G54). The 2026 edition of ICD-10-CM G54.7 became effective on October 1, 2025.

Coding Tips for G54.7

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

HCC capture: document with MEAT each year

G54.7 is a CMS-HCC v28 risk-adjustment code (category 189). To count for the patient Risk Adjustment Factor (RAF), document the diagnosis with MEAT language each calendar year: Monitored, Evaluated, Assessed, Treated. A diagnosis on the problem list alone does not satisfy CMS RADV audit standards. Include the diagnosis in the assessment with current status and current treatment plan.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under G54.7. Per CMS ICD-10-CM Tabular 2026.

  • Phantom limb syndrome NOS

Medicare Advantage HCC Impact

CMS-HCC v28 (current)
Category 189
ESRD-HCC
Category 189
RxHCC (Part D)
Category 189

Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.

Medicare LCD Coverage for G54.7

Local Coverage Determinations (LCDs) from CMS MACs that list G54.7 as a covered diagnosis.

558 LCDs

Showing top 10 of 558 total . Click a CPT for full coverage scope.

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 →
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 95860 →
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 95913 →
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 95869 →
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 G0255 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing G54.7.

15 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

1 Aetna

Spinal Cord Stimulation
Policy ID: CPB-0194

CPT Codes Commonly Billed with G54.7

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

18 linkages
  • 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 G54.7 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
G54.7 3536 10000

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

ICD-10 G54.7, Billing FAQ

Is ICD-10 code G54.7 billable? +

Yes, G54.7 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 G54.7? +

ICD-10 G54.7 includes: Phantom limb syndrome NOS.

Does G54.7 affect Medicare Advantage HCC risk adjustment? +

Yes. G54.7 maps to CMS-HCC v28 category 189. Capture this diagnosis annually for accurate Medicare Advantage risk score.

What CPT codes are commonly billed with G54.7? +

Procedures frequently paired with G54.7 include: G0151, G0159, G2168, G0157, 98977.

What ICD-9 codes does G54.7 map to? +

Per CMS GEMs, G54.7 maps to ICD-9 codes: 3536. 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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