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G90 ICD-10-CM Code: Disorders of autonomic nervous system

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FY 2026 Apr update / Diseases of the nervous system (G00-G99) / Other disorders of the nervous system (G89-G99)

G90

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Disorders of autonomic nervous system

Disorders of autonomic nervous system

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
G9Other disorders of the nervous system (G89-G99)
G90Disorders of autonomic nervous system

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for G90 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for G90 in this effective period.

Related Child Codes

Official
G90.0Idiopathic peripheral autonomic neuropathy
G90.1Familial dysautonomia [Riley-Day]
G90.2Horner's syndrome
G90.3Multi-system degeneration of the autonomic nervous system
G90.4Autonomic dysreflexia

Includes

Official

ICD-10-CM does not list Includes notes for G90 in this effective period.

Excludes 1

Official
  • dysfunction of the autonomic nervous system due to alcohol (G31.2)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for G90 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for G90 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for G90 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Coder workflow notes

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What This Code Means

G90 is the ICD-10-CM diagnosis code for disorders of autonomic nervous system. G90 sits in the ICD-10-CM chapter for diseases of the nervous system (g00-g99), within the section covering other disorders of the nervous system (g89-g99).

Header codes like G90 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at G90's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for G90 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • dysfunction of the autonomic nervous system due to alcohol (G31.2)

Child Codes

Code Hierarchy

G90Disorders of autonomic nervous system
G90Disorders of autonomic nervous system

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