PAYER READY CREDENTIALING & COMPLIANCE
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.

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.

Thanks!

If you want a code reference page that doesn't exist yet, email coding@payerready.com.

Sorry to hear that.

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 July 16, 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

Every month un-credentialed is revenue you never bill

Sign up free, add your first provider, and watch the pipeline start moving this week.

Ask CredBrain

Answers from your credentialing team's verified knowledge base

Hi, I'm CredBrain. I answer from your credentialing team's verified knowledge base: payer join paths, state rules, timelines, associate billing, and enrollment workflows. If I don't have a verified answer, I'll say so and point you to your team. What would you like to know?

Try asking