ICD-10 · PDGM grouping
G54 Nerve root and plexus disorders
All 10 codes in the G54 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
Codes in family
10
Can lead a claim
9
Cannot lead a claim
1
What CMS assigns to G54
9 of the 10 codes group to Neuro Rehabilitation; 1 is assigned no clinical group. None of the 10 is assigned a comorbidity subgroup. 9 of the 10 can lead a claim.
Every code in G54
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| G54.0 | Brachial plexus disorders | Can lead a claim | B | None |
| G54.1 | Lumbosacral plexus disorders | Can lead a claim | B | None |
| G54.2 | Cervical root disorders, not elsewhere classified | Can lead a claim | B | None |
| G54.3 | Thoracic root disorders, not elsewhere classified | Can lead a claim | B | None |
| G54.4 | Lumbosacral root disorders, not elsewhere classified | Can lead a claim | B | None |
| G54.5 | Neuralgic amyotrophy | Can lead a claim | B | None |
| G54.6 | Phantom limb syndrome with pain | Can lead a claim | B | None |
| G54.7 | Phantom limb syndrome without pain | Can lead a claim | B | None |
| G54.8 | Other nerve root and plexus disorders | Can lead a claim | B | None |
| G54.9 | Nerve root and plexus disorder, unspecified | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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