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

ICD-10 G54.9

Billable / Specific

Nerve root and plexus disorder, unspecified

G54
Block
0
Synonyms
318
LCDs
13
Payer Policies
33
Linked CPTs

About ICD-10-CM G54.9

ICD-10-CM code G54.9 represents Nerve root and plexus disorder, unspecified. This is a billable/specific code in the Nervous System chapter (block G54). The 2026 edition of ICD-10-CM G54.9 became effective on October 1, 2025.

Medicare LCD Coverage for G54.9

Local Coverage Determinations (LCDs) from CMS MACs that list G54.9 as a covered diagnosis.

318 LCDs

Showing top 10 of 318 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 G54.9.

13 policies

1 Cigna

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

5 Medicare

Billing and Coding: Outpatient Occupational Therapy
Policy ID: ART-53064
Billing and Coding: Nerve Conduction Studies and Electromyography
Policy ID: ART-54095
Billing and Coding: Peripheral Nerve Stimulation
Policy ID: ART-55530
Billing and Coding: Nerve Conduction Studies and Electromyography
Policy ID: ART-56619
Billing and Coding: Cervical Disc Replacement
Policy ID: ART-57021

3 Aetna

Positive Pressure Ventilation
Policy ID: CPB-0452
Nerve Conduction Studies
Policy ID: CPB-0502
Intervertebral Disc Prostheses
Policy ID: CPB-0591

CPT Codes Commonly Billed with G54.9

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

33 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 G54.9 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
G54.9 3539 00000

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

ICD-10 G54.9, Billing FAQ

Is ICD-10 code G54.9 billable? +

Yes, G54.9 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 G54.9? +

Procedures frequently paired with G54.9 include: 64596, 64598, 64570, 64597, 64569.

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

Per CMS GEMs, G54.9 maps to ICD-9 codes: 3539. 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 1, 2026.

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