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

ICD-10 G90.09

Billable / Specific

Other idiopathic peripheral autonomic neuropathy

G90
Block
1
Synonyms
199
LCDs
17
Payer Policies
4
Linked CPTs

About ICD-10-CM G90.09

ICD-10-CM code G90.09 represents Other idiopathic peripheral autonomic neuropathy. This is a billable/specific code in the Nervous System chapter (block G90). The 2026 edition of ICD-10-CM G90.09 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under G90.09. Per CMS ICD-10-CM Tabular 2026.

  • Idiopathic peripheral autonomic neuropathy NOS

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 G90.09

Local Coverage Determinations (LCDs) from CMS MACs that list G90.09 as a covered diagnosis.

199 LCDs

Showing top 10 of 199 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 G90.09.

17 policies

2 Aetna

Routine Foot Care - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0046
Autonomic Testing / Sudomotor Tests
Policy ID: CPB-0485

2 Cigna

Autonomic Nerve Function Testing - (0506)
Policy ID: MM_0506
Electrodiagnostic Testing (EMG/NCV) - (CPG129)
Policy ID: CPG129_EMG_NCV_SSEP

5 Medicare

Billing and Coding: Routine Foot Care
Policy ID: ART-52996
Billing and Coding: Autonomic Function Tests
Policy ID: ART-54954
Billing and Coding: Nerve Conduction Studies and Electromyography
Policy ID: ART-54969
Billing and Coding: CT of the Head
Policy ID: ART-56612
Billing and Coding: Nerve Conduction Studies and Electromyography
Policy ID: ART-56619

CPT Codes Commonly Billed with G90.09

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

4 linkages
  • 95923 CMS LCD: Billing and Coding: Autonomic Function Testing CMS LCD
  • 95924 CMS LCD: Billing and Coding: Autonomic Function Testing CMS LCD
  • 95921 CMS LCD: Billing and Coding: Autonomic Function Testing CMS LCD
  • 95922 CMS LCD: Billing and Coding: Autonomic Function Testing CMS LCD

Convert G90.09 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
G90.09 33700 10000
G90.09 33709 10000

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

ICD-10 G90.09, Billing FAQ

Is ICD-10 code G90.09 billable? +

Yes, G90.09 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 G90.09? +

ICD-10 G90.09 includes: Idiopathic peripheral autonomic neuropathy NOS.

What CPT codes are commonly billed with G90.09? +

Procedures frequently paired with G90.09 include: 95923, 95924, 95921, 95922.

What ICD-9 codes does G90.09 map to? +

Per CMS GEMs, G90.09 maps to ICD-9 codes: 33700, 33709. 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 2, 2026.

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