G54.6 Phantom limb syndrome with pain

Billable ICD-10-CM code, FY2026.

Applies from G54 Nerve root and plexus disorders

Excludes1 (never code together)

• current traumatic nerve root and plexus disorders - see nerve injury by body region
• intervertebral disc disorders (M50-M51)
• neuralgia or neuritis NOS (M79.2)
• neuritis or radiculitis brachial NOS (M54.13)
• neuritis or radiculitis lumbar NOS (M54.16)
• neuritis or radiculitis lumbosacral NOS (M54.17)
• neuritis or radiculitis thoracic NOS (M54.14)
• radiculitis NOS (M54.10)
• radiculopathy NOS (M54.10)
• spondylosis (M47.-)

Risk adjustment (HCC)

• CMS-HCC V28: HCC 409 — Amputation Status, Lower Limb/Amputation Complications
• CMS-HCC V22: HCC 189 — Amputation Status, Lower Limb/Amputation Complications
• ESRD V24: HCC 189

MS-DRG index

Defines the logic of DRG(s) 073-074 in MDC 01.

Approximate ICD-9-CM (GEMs)

• 353.6 Phantom limb (syndrome) (approximate)

Code annotations containing back-references to G54.6

Back-references to G54.6

• Type 2 Excludes: G89 Pain, not elsewhere classified ("phantom limb syndrome with pain (G54.6)")
• Type 2 Excludes: T87.89 Other complications of amputation stump ("phantom limb syndrome (G54.6-G54.7)")

Diagnosis Index entries for G54.6

• Phantom limb syndrome (without pain) › with pain
• Syndrome › phantom limb (without pain) › with pain

Nearby codes

• G54.1 Lumbosacral plexus disorders
• G54.2 Cervical root disorders, not elsewhere classified
• G54.3 Thoracic root disorders, not elsewhere classified
• G54.4 Lumbosacral root disorders, not elsewhere classified
• G54.5 Neuralgic amyotrophy
• G54.6 Phantom limb syndrome with pain (this code)
• G54.7 Phantom limb syndrome without pain
• G54.8 Other nerve root and plexus disorders
• G54.9 Nerve root and plexus disorder, unspecified