G54 — Nerve root and plexus disorders
Is G54 billable?
No — G54 is a non-billable header code. G54 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 10 billable codes beneath G54.
Billable codes under this header
- G54.0Brachial plexus disorders
- G54.1Lumbosacral plexus disorders
- G54.2Cervical root disorders, not elsewhere classified
- G54.3Thoracic root disorders, not elsewhere classified
- G54.4Lumbosacral root disorders, not elsewhere classified
- G54.5Neuralgic amyotrophy
- G54.6Phantom limb syndrome with pain
- G54.7Phantom limb syndrome without pain
- G54.8Other nerve root and plexus disorders
- G54.9Nerve root and plexus disorder, unspecified
G54 at a glance
| Code | G54 |
|---|---|
| Description | Nerve root and plexus disorders |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes1 — never code together
The conditions below can never be reported together with G54 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- 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.-)
Excludes1 — never code together — inherited from G50-G59
The conditions below can never be reported together with G54 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes2 — not included here — inherited from Chapter 6
The conditions below are not part of G54, but a patient may have both at the same time. When documentation supports it, G54 and the excluded code may both be reported.
- 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)
What codes fall under G54? (10)
- G54.0Brachial plexus disorders
- G54.1Lumbosacral plexus disorders
- G54.2Cervical root disorders, not elsewhere classified
- G54.3Thoracic root disorders, not elsewhere classified
- G54.4Lumbosacral root disorders, not elsewhere classified
- G54.5Neuralgic amyotrophy
- G54.6Phantom limb syndrome with pain
- G54.7Phantom limb syndrome without pain
- G54.8Other nerve root and plexus disorders
- G54.9Nerve root and plexus disorder, unspecified
How long has G54 existed?
G54 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
Which codes are confused with G54?
ICD-10-CM declares these codes mutually exclusive with G54 — exactly one of each pair can be correct for a given encounter.