G55BillableSave
G55 - Nerve root and plexus compressions in diseases classified elsewhere
ICD-10-CM Chapter 6: Diseases of the nervous system · G50-G59 Nerve, nerve root and plexus disorders (G50-G59) · Top-level category · FY2027
Includes, Excludes and Coding Notes
Excludes 1 — Not Coded HereFrom G55
Mutually exclusive: these conditions are never reported together with this code.
- nerve root compression (due to) (in) ankylosing spondylitis (M45.-)
- nerve root compression (due to) (in) dorsopathies (M53.-, M54.-)
- nerve root compression (due to) (in) intervertebral disc disorders (M50.1.-, M51.1.-)
- nerve root compression (due to) (in) spondylopathies (M46.-, M48.-)
- nerve root compression (due to) (in) spondylosis (M47.0-, M47.2.-)
Code FirstFrom G55
Sequence the underlying condition before this code.
- underlying disease, such as:
- neoplasm (C00-D49)
Excludes 1 — Not Coded HereFrom G50-G59 Nerve, nerve root and plexus disorders (G50-G59)
Mutually exclusive: these conditions are never reported together with this 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-)
Excludes 2 — Not Included HereFrom Chapter G00-G99
Not part of this code; report both codes when the patient has both conditions.
- 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)
Inpatient DRG Payments
DRG 07411,955 discharges
Cranial And Peripheral Nerve Disorders Without Mcc
Avg. Medicare Payment
$8,025
Total Payment$10,555
Patient Responsibility$2,530
Hospital Charge$53,593
DRG 0735,128 discharges
Cranial And Peripheral Nerve Disorders With Mcc
Avg. Medicare Payment
$13,069
Total Payment$16,061
Patient Responsibility$2,992
Hospital Charge$78,653
Chapter Information
Other categories in this chapter
Codes at the same level as G55
- Bacterial meningitis, not elsewhere classifiedG00
- Meningitis in bacterial diseases classified elsewhereG01
- Meningitis in other infectious and parasitic diseases classified elsewhereG02
- Meningitis due to other and unspecified causesG03
- Encephalitis, myelitis and encephalomyelitisG04
- Encephalitis, myelitis and encephalomyelitis in diseases classified elsewhereG05
- Intracranial and intraspinal abscess and granulomaG06
- Intracranial and intraspinal abscess and granuloma in diseases classified elsewhereG07
- Intracranial and intraspinal phlebitis and thrombophlebitisG08
- Sequelae of inflammatory diseases of central nervous systemG09
- Huntington's diseaseG10
- Hereditary ataxiaG11
- Spinal muscular atrophy and related syndromesG12
- Systemic atrophies primarily affecting central nervous system in diseases classified elsewhereG13
- Postpolio syndromeG14
- Parkinson's diseaseG20
- Secondary parkinsonismG21
- Other degenerative diseases of basal gangliaG23
- DystoniaG24
- Other extrapyramidal and movement disordersG25
- Extrapyramidal and movement disorders in diseases classified elsewhereG26
- Alzheimer's diseaseG30
- Other degenerative diseases of nervous system, not elsewhere classifiedG31
- Other degenerative disorders of nervous system in diseases classified elsewhereG32
- Multiple sclerosisG35
- Other acute disseminated demyelinationG36
- Other demyelinating diseases of central nervous systemG37
- Epilepsy and recurrent seizuresG40
- MigraineG43
- Other headache syndromesG44
- Transient cerebral ischemic attacks and related syndromesG45
- Vascular syndromes of brain in cerebrovascular diseasesG46
- Sleep disordersG47
- Disorders of trigeminal nerveG50
- Facial nerve disordersG51
- Disorders of other cranial nervesG52
- Cranial nerve disorders in diseases classified elsewhereG53
- Nerve root and plexus disordersG54
- Mononeuropathies of upper limbG56
- Mononeuropathies of lower limbG57
27 more in this chapter.