G90.01 ICD-10-CM Code: Carotid sinus syncope
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Coding at a Glance
- Tabular directives
- 1 inclusion term · 1 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 073 — CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC (MDC 01)
- MS-DRG 074 — CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT 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 G90.01 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 G90.01 itself; “inherited from” names the category or block whose note applies here.
Inclusion Terms
Alternative terms the tabular list files under this code.
- Carotid sinus syndrome
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).
- dysfunction of the autonomic nervous system due to alcohol (G31.2) Compare G90.01 vs G31.2 →
Source: inherited from G90
Coder workflow for G90.01
MedCoder structured workflow — derived from this code’s own official record
Before you code G90.01
- Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with G90.01. 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 G90.01’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.ReviewG31.2
Consider G90.01. 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 G90.01(1 note)
Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with G90.01: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.
CompareG31.2
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 G90.01 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).
ReviewG31.2
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 (7)
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.
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 G90.01 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: R55 — Syncope and collapse.
These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.
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 2 MS-DRGs: DRG 073 (MDC 01), DRG 074 (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):NVS006 — Other nervous system disorders (often hereditary or degenerative) (default); SYM001 — Syncope.
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 categories (Other nervous system disorders (often hereditary or degenerative), Syncope).
G31.82 — Leigh's disease, G31.84 — Mild cognitive impairment of uncertain or unknown etiology, G31.85 — Corticobasal degeneration, G31.86 — Alexander disease, G31.87 — Primary progressive apraxia of speech, G31.89 — Other specified degenerative diseases of nervous system, G31.9 — Degenerative disease of nervous system, unspecified, G32.0 — Subacute combined degeneration of spinal cord in diseases classified elsewhere, G32.81 — Cerebellar ataxia in diseases classified elsewhere, G32.89 — Other specified degenerative disorders of nervous system in diseases classified elsewhere, G90.09 — Other idiopathic peripheral autonomic neuropathy, G90.1 — Familial dysautonomia [Riley-Day], G90.3 — Multi-system degeneration of the autonomic nervous system, G90.4 — Autonomic dysreflexia, G90.B — LMNB1-related autosomal dominant leukodystrophy, G93.42 — Megalencephalic leukoencephalopathy with subcortical cysts, G93.43 — Leukoencephalopathy with calcifications and cysts, G93.44 — Adult-onset leukodystrophy with axonal spheroids, G93.45 — Developmental and epileptic encephalopathy, G99.0 — Autonomic neuropathy in diseases classified elsewhere, +84 more
Same Index main term, other category
The ICD-10-CM Index to Diseases and Injuries files this code under the main terms “Syncope”, “Sensitive, sensitivity”, “Hypersensitive, hypersensitiveness, hypersensitivity”; these codes share that main term but sit in a different category of the Tabular List.
D59.12 — Cold autoimmune hemolytic anemia (cold, autoimmune), D74.8 — Other methemoglobinemias (methemoglobin), F45.8 — Other somatoform disorders (gastrointestinal, psychogenic), F48.8 — Other specified nonpsychotic mental disorders (psychogenic), F93.8 — Other childhood emotional disorders (child), G97.1 — Other reaction to spinal and lumbar puncture (due to spinalpuncture), H53.71 — Glare sensitivity (visual, glare), H53.72 — Impaired contrast sensitivity (visual, impaired contrast), I20.89 — Other forms of angina pectoris (anginosa), J39.3 — Upper respiratory tract hypersensitivity reaction, site unspecified (reaction, upper respiratory tract NEC), K03.89 — Other specified diseases of hard tissues of teeth (dentin), K52.29 — Other allergic and dietetic gastroenteritis and colitis (gastrointestinal), K90.41 — Non-celiac gluten sensitivity (gluten), R00.1 — Bradycardia, unspecified (bradycardia), R05.4 — Cough syncope (laryngeal), R05.8 — Other specified cough (tussive), R20.8 — Other disturbances of skin sensation (pain), R55 — Syncope and collapse, R76.11 — Nonspecific reaction to tuberculin skin test without active tuberculosis (tuberculin, without clinical or radiological symptoms), T67.1 — Heat syncope (heat), +3 more
Contextual Map
Every relationship of G90.01 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 G90.01 with this related code 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
Referenced by Excludes1 notes
- R55 — Syncope and collapse[Excludes1]: “carotid sinus syncope (G90.01)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Clinical classification (CCSR)
- NVS006 — Other nervous system disorders (often hereditary or degenerative)[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
- SYM001 — Syncope[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
MS-DRG Grouper
- DRG 073 — CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC[MS-DRG]: “CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- DRG 074 — CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC[MS-DRG]: “CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT 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
- Carotid body or sinus syndrome[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Carotidynia[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Hypersensitive, hypersensitiveness, hypersensitivity, carotid sinus[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Sensitive, sensitivity, carotid sinus[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Syncope (near) (pre-), carotid sinus[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Syndrome, carotid, body[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Syndrome, carotid, sinus[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
Nearest codes (26)
- G90 — Disorders of autonomic nervous system[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- G90.0 — Idiopathic peripheral autonomic neuropathy[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- G90.09 — Other idiopathic peripheral autonomic neuropathy[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- G90.1 — Familial dysautonomia [Riley-Day][Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- G90.2 — Horner's syndrome[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- G90.3 — Multi-system degeneration of the autonomic nervous system[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- G90.4 — Autonomic dysreflexia[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- G90.5 — Complex regional pain syndrome I (CRPS I)[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- and 18 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. "G90.01 — Carotid sinus syncope." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/g90.01-carotid-sinus-syncope
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionCarotid sinus syncope
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 G90.01 in its code family, with their registry titles.
- G90 — Disorders of autonomic nervous system
- G90.0 — Idiopathic peripheral autonomic neuropathy
- G90.09 — Other idiopathic peripheral autonomic neuropathy
- G90.1 — Familial dysautonomia [Riley-Day]
- G90.2 — Horner's syndrome
- G90.3 — Multi-system degeneration of the autonomic nervous system
- G90.4 — Autonomic dysreflexia
- G90.5 — Complex regional pain syndrome I (CRPS I)
- G90.50 — Complex regional pain syndrome I, unspecified
- G90.51 — Complex regional pain syndrome I of upper limb