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G54.5

Billable

Neuralgic amyotrophy

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A condition causing sudden severe pain and muscle weakness in the shoulder and arm, typically affecting one side, often following an illness or injury.

Coding Tips

  • •Specify laterality (right, left, bilateral) when documented
  • •Document any preceding illness or triggering event if available

Excludes 1 — Do NOT code together

  • neuralgic amyotrophy in diabetes mellitus (E08-E13 with .44)

Code Hierarchy

└G54Nerve root and plexus disorders└G54.5Neuralgic amyotrophy
└G54.5Neuralgic amyotrophy

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