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

ICD-10 G90.01

Billable / Specific

Carotid sinus syncope

G90
Block
1
Synonyms
342
LCDs
24
Payer Policies
39
Linked CPTs

About ICD-10-CM G90.01

ICD-10-CM code G90.01 represents Carotid sinus syncope. This is a billable/specific code in the Nervous System chapter (block G90). The 2026 edition of ICD-10-CM G90.01 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under G90.01. Per CMS ICD-10-CM Tabular 2026.

  • Carotid sinus syndrome

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 G90.01

Local Coverage Determinations (LCDs) from CMS MACs that list G90.01 as a covered diagnosis.

342 LCDs

Showing top 10 of 342 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93270 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93298 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93225 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93271 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93246 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93272 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93242 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93228 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 0938T →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 0937T →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing G90.01.

24 policies

1 Aetna

Routine Foot Care - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0046

2 Cigna

Duplex Scan of Extracranial Arteries - (0542)
Policy ID: MM_0542
Electrodiagnostic Testing (EMG/NCV) - (CPG129)
Policy ID: CPG129_EMG_NCV_SSEP

5 Medicare

Billing and Coding: Single Chamber and Dual Chamber Permanent Cardiac Pacemaker
Policy ID: ART-54831
Billing and Coding: Single Chamber and Dual Chamber Permanent Cardiac Pacemakers
Policy ID: ART-54909
Billing and Coding: Single Chamber and Dual Chamber Permanent Cardiac Pacemakers
Policy ID: ART-54926
Billing and Coding: Single Chamber and Dual Chamber Permanent Cardiac Pacemakers � Coding and Billing
Policy ID: ART-54929
Billing and Coding: Single Chamber and Dual Chamber Permanent Cardiac Pacemaker
Policy ID: ART-54958

CPT Codes Commonly Billed with G90.01

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

39 linkages
  • 33208 CMS LCD: Billing and Coding: Single Chamber and Dual Chamber Permanent Cardiac Pacemakers � Coding and Billing CMS LCD
  • 33206 CMS LCD: Billing and Coding: Single Chamber and Dual Chamber Permanent Cardiac Pacemakers � Coding and Billing CMS LCD
  • 33207 CMS LCD: Billing and Coding: Single Chamber and Dual Chamber Permanent Cardiac Pacemakers � Coding and Billing CMS LCD
  • 93243 CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring CMS LCD
  • 93242 CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring CMS LCD
  • 93245 CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring CMS LCD
  • 93270 CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring CMS LCD
  • 0940T CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring CMS LCD
  • 93298 CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring CMS LCD
  • 93247 CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring CMS LCD

Convert G90.01 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
G90.01 33701 10000

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

ICD-10 G90.01, Billing FAQ

Is ICD-10 code G90.01 billable? +

Yes, G90.01 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 G90.01? +

ICD-10 G90.01 includes: Carotid sinus syndrome.

What CPT codes are commonly billed with G90.01? +

Procedures frequently paired with G90.01 include: 33208, 33206, 33207, 93243, 93242.

What ICD-9 codes does G90.01 map to? +

Per CMS GEMs, G90.01 maps to ICD-9 codes: 33701. 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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