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

ICD-10 G72.3

Billable / Specific

Periodic paralysis

G72
Block
6
Synonyms
305
LCDs
10
Payer Policies
0
Linked CPTs

About ICD-10-CM G72.3

ICD-10-CM code G72.3 represents Periodic paralysis. This is a billable/specific code in the Nervous System chapter (block G72). The 2026 edition of ICD-10-CM G72.3 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under G72.3. Per CMS ICD-10-CM Tabular 2026.

  • Familial periodic paralysis
  • Hyperkalemic periodic paralysis (familial)
  • Hypokalemic periodic paralysis (familial)
  • Myotonic periodic paralysis (familial)
  • Normokalemic paralysis (familial)
  • Potassium sensitive periodic paralysis

Type 1 Excludes

Pure excludes, these codes can never be coded together with G72.3. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • paramyotonia congenita (of von Eulenburg) (G71.19)

Medicare Advantage HCC Impact

ESRD-HCC
Category 75

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 G72.3

Local Coverage Determinations (LCDs) from CMS MACs that list G72.3 as a covered diagnosis.

305 LCDs

Showing top 10 of 305 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 G72.3.

10 policies

1 Cigna

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

5 Medicare

Billing and Coding: Home Health Speech-Language Pathology
Policy ID: ART-53052
Billing and Coding: Nerve Conduction Studies and Electromyography
Policy ID: ART-54095
Billing and Coding: Nerve Conduction Studies and Electromyography
Policy ID: ART-54969
Billing and Coding: Nerve Conduction Studies and Electromyography
Policy ID: ART-56619
Billing and Coding: Outpatient Speech Language Pathology
Policy ID: ART-56868

CPT Codes Commonly Billed with G72.3

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

No procedure linkages on file for G72.3

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert G72.3 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
G72.3 3593 00000

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

ICD-10 G72.3, Billing FAQ

Is ICD-10 code G72.3 billable? +

Yes, G72.3 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 G72.3? +

ICD-10 G72.3 includes: Familial periodic paralysis; Hyperkalemic periodic paralysis (familial); Hypokalemic periodic paralysis (familial), and 3 more clinical synonyms.

What codes are Type 1 Excludes for G72.3? +

Type 1 Excludes (never code together with G72.3): paramyotonia congenita (of von Eulenburg) (G71.19)

What ICD-9 codes does G72.3 map to? +

Per CMS GEMs, G72.3 maps to ICD-9 codes: 3593. 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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