G54

Non-Billable
ChapterG00–G99
Rankcategory
Official Description

Nerve root and plexus disorders

Metadata & Insights
  • Non-billable category (requires more specific sub-code).
  • Chapter 6: Diseases of the Nervous System (G00-G99).

CH6 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

G50-G59 Parent Instructions

Excludes1(Not coded here. Use a different code.)
  • current traumatic nerve, nerve root and plexus disorders - see Injury, nerve by body region
  • neuralgia NOS (M79.2)
  • neuritis NOS (M79.2)
  • peripheral neuritis in pregnancy (O26.82-)
  • radiculitis NOS (M54.1-)

Instructional Notes

Excludes1(Not coded here. Use a different code.)
  • current traumatic nerve root and plexus disorders - see nerve injury by body region
  • intervertebral disc disorders (M50-M51)
  • neuralgia or neuritis NOS (M79.2)
  • neuritis or radiculitis brachial NOS (M54.13)
  • neuritis or radiculitis lumbar NOS (M54.16)
  • neuritis or radiculitis lumbosacral NOS (M54.17)
  • neuritis or radiculitis thoracic NOS (M54.14)
  • radiculitis NOS (M54.10)
  • radiculopathy NOS (M54.10)
  • spondylosis (M47.-)

Clinical Hierarchy

BillableHas subcodes
CH6Diseases of the nervous system (G00-G99)
G50-G59Nerve, nerve root and plexus disorders (G50-G59)
G54Nerve root and plexus disordersNot billable
G54.0Brachial plexus disordersBillable
G54.1Lumbosacral plexus disordersBillable
G54.2Cervical root disorders, not elsewhere classifiedBillable
G54.3Thoracic root disorders, not elsewhere classifiedBillable
G54.4Lumbosacral root disorders, not elsewhere classifiedBillable
G54.5Neuralgic amyotrophyBillable
G54.6Phantom limb syndrome with painBillable
G54.7Phantom limb syndrome without painBillable
G54.8Other nerve root and plexus disordersBillable
G54.9Nerve root and plexus disorder, unspecifiedBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to G54:

blockG50-G59
Nerve, nerve root and plexus disorders (G50-G59)
View context instructions
chapterCH6
Diseases of the nervous system (G00-G99)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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