ICD-10 G90.4
Billable / SpecificAutonomic dysreflexia
About ICD-10-CM G90.4
ICD-10-CM code G90.4 represents Autonomic dysreflexia. This is a billable/specific code in the Nervous System chapter (block G90). The 2026 edition of ICD-10-CM G90.4 became effective on October 1, 2025.
Use Additional Code
When coding G90.4, also report these additional codes when applicable.
- code to identify the cause, such as:
- fecal impaction (K56.41)
- pressure ulcer (pressure area) (L89.-)
- urinary tract infection (N39.0)
Medicare Advantage HCC Impact
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 G90.4
Local Coverage Determinations (LCDs) from CMS MACs that list G90.4 as a covered diagnosis.
Showing top 10 of 219 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing G90.4.
1 Cigna
5 Medicare
CPT Codes Commonly Billed with G90.4
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
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 G90.4 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| G90.4 | 3373 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To G90.4
Other codes in section G89-G99 (Other disorders of the nervous system).
ICD-10 G90.4, Billing FAQ
Is ICD-10 code G90.4 billable? +
Yes, G90.4 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What ICD-9 codes does G90.4 map to? +
Per CMS GEMs, G90.4 maps to ICD-9 codes: 3373. 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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