G72.3: Periodic paralysis
G72.3, periodic paralysis, is listed as a covered diagnosis in 6 Medicare billing and coding articles that apply to 3 HCPCS Level II codes, including G0153 (Services performed by a qualified speech-language…), G0161 (Services performed by a qualified speech-language…), G0255 (Current perception threshold/sensory nerve conduction…). The articles come from 5 Medicare contractors. A listed diagnosis supports medical necessity only; coverage still depends on the LCD's criteria and on documentation in the medical record.
HCPCS Level II codes with G72.3 as a covered diagnosis
| Code | Description | Medicare coverage | DMEPOS fee 2026 (state range) | Articles listing it |
|---|---|---|---|---|
| G0153 | Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes | Carrier judgment | — | 1 |
| G0161 | Services performed by a qualified speech-language pathologist, in the home health setting, in the establishment or delivery of a safe and effective speech-language pathology maintenance program, each 15 minutes | Carrier judgment | — | 1 |
| G0255 | Current perception threshold/sensory nerve conduction test, (snct) per limb, any nerve | Non-covered by Medicare | Not covered | 5 |
Medicare policy articles listing G72.3
- A53052: Billing and Coding: Home Health Speech-Language Pathology (Palmetto GBA (HHH MAC); 2 Level II codes). LCD with the same title: L34563
- A57307: Billing and Coding: Nerve Conduction Studies and Electromyography (CGS Administrators, LLC (MAC - Part A, MAC - Part B); 1 Level II codes). LCD with the same title: L34594, L34859, L35048, L35081
- A57478: Billing and Coding: Nerve Conduction Studies and Electromyography (WPS Insurance Corporation (MAC - Part A, MAC - Part B); 1 Level II codes). LCD with the same title: L34594, L34859, L35048, L35081
- A54969: Billing and Coding: Nerve Conduction Studies and Electromyography (Noridian Healthcare Solutions, LLC (MAC - Part A, MAC - Part B); 1 Level II codes). LCD with the same title: L34594, L34859, L35048, L35081
- A57668: Billing and Coding: Nerve Conduction Studies and Electromyography (Wellpoint Federal (MAC - Part A, MAC - Part B); 1 Level II codes). LCD with the same title: L34594, L34859, L35048, L35081
- A56619: Billing and Coding: Nerve Conduction Studies and Electromyography (Palmetto GBA (MAC - Part A, MAC - Part B); 1 Level II codes). LCD with the same title: L34594, L34859, L35048, L35081
A diagnosis listed as covered in a billing and coding article supports medical necessity for the article's codes; it does not guarantee payment. Coverage depends on the LCD's criteria, the contractor's jurisdiction and documentation in the medical record.
Other G72 diagnoses (Other and unspecified myopathies)
- G72.0 — Drug-induced myopathy
- G72.1 — Alcoholic myopathy
- G72.2 — Myopathy due to other toxic agents
- G72.41 — Inclusion body myositis [IBM]
- G72.49 — Other inflammatory and immune myopathies, not elsewhere classified
- G72.81 — Critical illness myopathy
- G72.89 — Other specified myopathies
- G72.9 — Myopathy, unspecified
Frequently asked questions
Does Medicare cover G72.3 (Periodic paralysis)?
Medicare covers items and services, not diagnoses. 6 Medicare billing and coding articles list G72.3 as a covered diagnosis for 3 HCPCS Level II codes: the diagnosis can support medical necessity for those codes, but payment still depends on the LCD's coverage criteria and the medical record.
Which HCPCS codes can be billed with ICD-10 G72.3?
The Level II codes from the policies most specific to this diagnosis are G0153 (Services performed by a qualified speech-language…, 1 article); G0161 (Services performed by a qualified speech-language…, 1 article); G0255 (Current perception threshold/sensory nerve conduction…, 5 articles). Code choice depends on the item supplied; check each code's descriptor.
Which Medicare policy articles list G72.3?
A53052 (Billing and Coding: Home Health Speech-Language Pathology); A57307 (Billing and Coding: Nerve Conduction Studies and Electromyography); A57478 (Billing and Coding: Nerve Conduction Studies and Electromyography), and 3 more articles.
What is ICD-10-CM code G72.3?
G72.3 is the ICD-10-CM code for periodic paralysis, in category G72 (Other and unspecified myopathies), chapter 6: Diseases of the nervous system.
Next steps
- Run a reimbursement report for a device billed under G0153
- Watch G0153 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for G0153
Sources: CMS Medicare Coverage Database billing and coding articles (covered ICD-10 code lists and HCPCS links); ICD-10-CM FY2026; CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule 2026 (non-rural state fees). Not billing or legal advice.
Chapter 6: Diseases of the nervous system · All diagnoses · HCPCS lookup