G72.3 ICD-10-CM Code: Periodic paralysis
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Coding at a Glance
- Tabular directives
- 6 inclusion terms · 6 Excludes1
Inpatient Payment Groups (MS-DRG)
Potential MS-DRG participation — not a DRG assignment.
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43, Appendix B.
- MS-DRG 091 — OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC (MDC 01)
- MS-DRG 092 — OTHER DISORDERS OF NERVOUS SYSTEM WITH CC (MDC 01)
- MS-DRG 093 — OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC (MDC 01)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for G72.3 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025
Notes without a marker are published on G72.3 itself; “inherited from” names the category or block whose note applies here.
Inclusion Terms
Alternative terms the tabular list files under this code.
- Familial periodic paralysis
- Hyperkalemic periodic paralysis (familial)
- Hypokalemic periodic paralysis (familial)
- Myotonic periodic paralysis (familial)
- Normokalemic paralysis (familial)
- Potassium sensitive periodic paralysis
Excludes1 — Not Coded Here
Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
- paramyotonia congenita (of von Eulenburg) (G71.19) Compare G72.3 vs G71.19 →
- arthrogryposis multiplex congenita (Q74.3) inherited from G72Compare G72.3 vs Q74.3 →
- dermatopolymyositis (M33.-) inherited from G72Compare G72.3 vs M33 →
- ischemic infarction of muscle (M62.2-) inherited from G72Compare G72.3 vs M62.2 →
- myositis (M60.-) inherited from G72Compare G72.3 vs M60 →
- polymyositis (M33.2.-) inherited from G72Compare G72.3 vs M33.2 →
Coder workflow for G72.3
MedCoder structured workflow — derived from this code’s own official record
Before you code G72.3
- Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with G72.3. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).
Choose the right path
- Does the documentation support a condition named in G72.3’s Excludes1 note?
Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
No → Continue.
Consider G72.3. Then confirm the code is valid for the date of service in the Verify section.
Documentation check
- The provider’s diagnostic statement
- Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
Official instructions as workflow
Excludes1 — check before selecting G72.3(6 notes)
Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with G72.3: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.
CompareG71.19, Q74.3, M33, M62.2, M60, M33.2
See the official tabular notes · Guidelines I.A.12.a
Coding decision scenarios
Pattern scenarios for this code’s structure — decision rules, not clinical cases
Documentation: Both the condition G72.3 describes and a condition named in its Excludes1 note are documented for the same encounter.
Coding question: Can both codes be reported?
Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.
Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).
Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Indexed Clinical Terms (11)
Official source data — entries quoted as published, in the Index’s own lookup phrasing
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.
- Adynamia (episodica) (hereditary) (periodic)
- Cavare's disease (familial periodic paralysis)
- Disease, diseased, Cavare's (familial periodic paralysis)
- Disease, diseased, familial periodic paralysis
- Disease, diseased, Gamstorp's (adynamia episodica hereditaria)
- Gamstorp's disease (adynamia episodica hereditaria)
- Paralysis, paralytic (complete) (incomplete), familial (recurrent) (periodic)
- Paralysis, paralytic (complete) (incomplete), hyperkalemic periodic (familial)
- Paralysis, paralytic (complete) (incomplete), hypokalemic periodic
- Paralysis, paralytic (complete) (incomplete), normokalemic periodic
- Paralysis, paralytic (complete) (incomplete), periodic (familial) (hyperkalemic) (hypokalemic) (myotonic) (normokalemic) (potassium sensitive) (secondary)
Verify Before Coding
- No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
MedCoder structured relationships — computed from published CMS and AHRQ datasets
Other codes that name G72.3 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
Referenced by 1 Excludes1 note: E87 — Other disorders of fluid, electrolyte and acid-base balance.
These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.
Referenced by 5 Excludes2 notes: M60 — Myositis (via G72.-), M60-M63 — Disorders of muscles (M60-M63) (via G72.-), M61 — Calcification and ossification of muscle (via G72.-), M62 — Other disorders of muscle (via G72.-), M63 — Disorders of muscle in diseases classified elsewhere (via G72.-).
These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.
Referenced by 1 Code First instruction: M62.84 — Sarcopenia (via G72.-).
Each of these codes carries a Code First note naming this condition — when that code is reported, THIS code is sequenced first, ahead of it.
MS-DRG Grouper Relationships (FY2026)
Potential MS-DRG participation — not a DRG assignment.
FY2026 MS-DRG: not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity for that release.
Named in the grouper logic of 3 MS-DRGs: DRG 091 (MDC 01), DRG 092 (MDC 01), DRG 093 (MDC 01).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Clinical classification (AHRQ CCSR):NVS018 — Myopathies (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Related Codes
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Myopathies).
G71.21 — Nemaline myopathy, G71.220 — X-linked myotubular myopathy, G71.228 — Other centronuclear myopathy, G71.29 — Other congenital myopathy, G71.3 — Mitochondrial myopathy, not elsewhere classified, G71.8 — Other primary disorders of muscles, G71.9 — Primary disorder of muscle, unspecified, 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, G73.1 — Lambert-Eaton syndrome in neoplastic disease, G73.3 — Myasthenic syndromes in other diseases classified elsewhere, G73.7 — Myopathy in diseases classified elsewhere, M05.40 — Rheumatoid myopathy with rheumatoid arthritis of unspecified site, M05.411 — Rheumatoid myopathy with rheumatoid arthritis of right shoulder, +53 more
Same Index main term, other category
The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Paralysis, paralytic”; these codes share that main term but sit in a different category of the Tabular List.
G57.9 — Unspecified mononeuropathy of lower limb (thigh), G58.9 — Mononeuropathy, unspecified (atrophic), G60.0 — Hereditary motor and sensory neuropathy (Charcot-Marie-Tooth type), G61.0 — Guillain-Barre syndrome (Landry's), G62.2 — Polyneuropathy due to other toxic agents (Jamaica ginger), G70.00 — Myasthenia gravis without (acute) exacerbation (bulbospinal), G70.01 — Myasthenia gravis with (acute) exacerbation (bulbospinal, in crisis), G71.01 — Duchenne or Becker muscular dystrophy (Duchenne's, due to or associated with, muscular dystrophy), G71.02 — Facioscapulohumeral muscular dystrophy (muscle, muscular NEC, pseudohypertrophic), G71.09 — Other specified muscular dystrophies (pseudohypertrophic), G80.0 — Spastic quadriplegic cerebral palsy (spastic, quadriplegic), G80.1 — Spastic diplegic cerebral palsy (cerebrocerebellar, diplegic), G80.9 — Cerebral palsy, unspecified (Clark's), G83.0 — Diplegia of upper limbs (brain, diplegia), G83.1 — Monoplegia of lower limb (leg), G83.81 — Brown-Séquard syndrome (Brown-Séquard), G83.84 — Todd's paralysis (postepileptic) (Todd's), G83.89 — Other specified paralytic syndromes (Jackson's), G83.9 — Paralytic syndrome, unspecified, G90.09 — Other idiopathic peripheral autonomic neuropathy (sympathetic, cervical), +83 more
Contextual Map
Every relationship of G72.3 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run G72.3 with these 8 related codes in Claim Check
Hierarchy
- G00-G99 — Chapter 6: Diseases of the Nervous System (G00-G99) (G00-G99)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- G70-G73 — Diseases of myoneural junction and muscle[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Excludes1
- G71.19 — Other specified myotonic disorders[Excludes1]: “paramyotonia congenita (of von Eulenburg) (G71.19)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Referenced by Excludes1 notes
- E87 — Other disorders of fluid, electrolyte and acid-base balance[Excludes1]: “familial periodic paralysis (G72.3)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Referenced by Excludes2 notes
- M60 — Myositis[Excludes2](via G72.-): “muscular dystrophies and myopathies (G71-G72)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- M60-M63 — Disorders of muscles (M60-M63)[Excludes2](via G72.-): “muscular dystrophies and myopathies (G71-G72)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- M61 — Calcification and ossification of muscle[Excludes2](via G72.-): “muscular dystrophies and myopathies (G71-G72)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- M62 — Other disorders of muscle[Excludes2](via G72.-): “muscular dystrophies and myopathies (G71-G72)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- M63 — Disorders of muscle in diseases classified elsewhere[Excludes2](via G72.-): “muscular dystrophies and myopathies (G71-G72)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Referenced by Code First instructions
- M62.84 — Sarcopenia[Code First](via G72.-): “other and unspecified myopathies (G72.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Clinical classification (CCSR)
- NVS018 — Myopathies[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
MS-DRG Grouper
- DRG 091 — OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC[MS-DRG]: “OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- DRG 092 — OTHER DISORDERS OF NERVOUS SYSTEM WITH CC[MS-DRG]: “OTHER DISORDERS OF NERVOUS SYSTEM WITH CC (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- DRG 093 — OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC[MS-DRG]: “OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
MDC crossing
- MDC 01 — Diseases and Disorders of the Nervous System[MDC crossing]: “Diseases and Disorders of the Nervous System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 8,892 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2026
Index entries (11)
- Adynamia (episodica) (hereditary) (periodic)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Cavare's disease (familial periodic paralysis)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Disease, diseased, Cavare's (familial periodic paralysis)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Disease, diseased, familial periodic paralysis[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Disease, diseased, Gamstorp's (adynamia episodica hereditaria)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Gamstorp's disease (adynamia episodica hereditaria)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Paralysis, paralytic (complete) (incomplete), familial (recurrent) (periodic)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Paralysis, paralytic (complete) (incomplete), hyperkalemic periodic (familial)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- and 3 more
Nearest codes (11)
- G72 — Other and unspecified myopathies[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- G72.0 — Drug-induced myopathy[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- G72.1 — Alcoholic myopathy[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- G72.2 — Myopathy due to other toxic agents[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- G72.4 — Inflammatory and immune myopathies, not elsewhere classified[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- G72.41 — Inclusion body myositis [IBM][Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- G72.49 — Other inflammatory and immune myopathies, not elsewhere classified[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- G72.8 — Other specified myopathies[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- and 3 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
- Inpatient payment groups Official source data
- CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43 Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "G72.3 — Periodic paralysis." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/g72.3-periodic-paralysis
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionPeriodic paralysis
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to G72.3 in its code family, with their registry titles.
- G72 — Other and unspecified myopathies
- G72.0 — Drug-induced myopathy
- G72.1 — Alcoholic myopathy
- G72.2 — Myopathy due to other toxic agents
- G72.4 — Inflammatory and immune myopathies, not elsewhere classified
- G72.41 — Inclusion body myositis [IBM]
- G72.49 — Other inflammatory and immune myopathies, not elsewhere classified
- G72.8 — Other specified myopathies
- G72.81 — Critical illness myopathy
- G72.89 — Other specified myopathies