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FY2027 ICD-10-CM reference

G54.0: Brachial plexus disorders

By the HCC Buddy Coding Team

The official ICD-10-CM descriptor is Brachial plexus disorders. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.

Billable code. Verified against the official FY2027 order file.

CMS-HCC V28

No V28 HCC for 2026 dates of service (CMS 2027 Initial ICD-10-CM Mappings)

CMS-HCC V24

Not used for payment year 2027 Medicare Advantage payment

ESRD

Source verification pending

PACE

Source verification pending

RxHCC

Source verification pending

HHS-HCC

Source verification pending

FY2027 Tabular instructions

Instructions below include applicable chapter, section and parent-code notes. Each note identifies where it appears in the official source.

Excludes2

certain conditions originating in the perinatal period (P04-P96)

Source: G00-G99 (chapter, inherited).

Excludes2

certain infectious and parasitic diseases (A00-B99)

Source: G00-G99 (chapter, inherited).

Excludes2

complications of pregnancy, childbirth and the puerperium (O00-O9A)

Source: G00-G99 (chapter, inherited).

Excludes2

congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)

Source: G00-G99 (chapter, inherited).

Excludes2

endocrine, nutritional and metabolic diseases (E00-E88)

Source: G00-G99 (chapter, inherited).

Excludes2

injury, poisoning and certain other consequences of external causes (S00-T88)

Source: G00-G99 (chapter, inherited).

Excludes2

neoplasms (C00-D49)

Source: G00-G99 (chapter, inherited).

Excludes2

symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Source: G00-G99 (chapter, inherited).

Excludes1

current traumatic nerve, nerve root and plexus disorders - see Injury, nerve by body region

Source: G50-G59 (section, inherited).

Excludes1

neuralgia NOS (M79.2)

Source: G50-G59 (section, inherited).

Excludes1

neuritis NOS (M79.2)

Source: G50-G59 (section, inherited).

Excludes1

peripheral neuritis in pregnancy (O26.82-)

Source: G50-G59 (section, inherited).

Excludes1

radiculitis NOS (M54.1-)

Source: G50-G59 (section, inherited).

Excludes1

current traumatic nerve root and plexus disorders - see nerve injury by body region

Source: G54 (category, inherited).

Excludes1

intervertebral disc disorders (M50-M51)

Source: G54 (category, inherited).

Excludes1

neuralgia or neuritis NOS (M79.2)

Source: G54 (category, inherited).

Excludes1

neuritis or radiculitis brachial NOS (M54.13)

Source: G54 (category, inherited).

Excludes1

neuritis or radiculitis lumbar NOS (M54.16)

Source: G54 (category, inherited).

Excludes1

neuritis or radiculitis lumbosacral NOS (M54.17)

Source: G54 (category, inherited).

Excludes1

neuritis or radiculitis thoracic NOS (M54.14)

Source: G54 (category, inherited).

Excludes1

radiculitis NOS (M54.10)

Source: G54 (category, inherited).

Excludes1

radiculopathy NOS (M54.10)

Source: G54 (category, inherited).

Excludes1

spondylosis (M47.-)

Source: G54 (category, inherited).

Instructional note

Thoracic outlet syndrome

Source: G54.0 (self, direct).

Source: CMS FY2027 Tabular List and Alphabetic Index.

Open Tabular instructions and code details

Compare the FY2027 additions, removals and billable-status changes

What does G54.0 mean in FY2027?

The official ICD-10-CM descriptor is Brachial plexus disorders. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.

Is G54.0 billable in FY2027?

The FY2027 order file marks G54.0 as billable. Check the complete Tabular instructions and documentation before assigning it.

Does G54.0 map to an HCC?

G54.0 has no CMS-HCC V28 category in the CMS 2027 Initial ICD-10-CM Mappings (payment year 2027, 2026 dates of service). ESRD, RxHCC, PACE and HHS-HCC mappings are still pending verification for FY2027.

Source: CMS FY2027 ICD-10-CM order file. Read the FY2027 Official Guidelines.

Review the FY2026 April edition