US · guidance
CMS Pub. 100-04, ch. 32, § 50.4.1
Allowable Covered Diagnosis Codes
Deep Brain Stimulation is covered for the following diagnosis codes:
If ICD-10-CM is applicable:
• ICD-10-CM G20.A1 - Parkinson's disease without dyskinesia, without mention of fluctuations
• ICD-10-CM G20.A2 - Parkinson's disease without dyskinesia, with fluctuations
• ICD-10-CM G20.B1 - Parkinson's disease with dyskinesia, without mention of fluctuations
• ICD-10 CM G20.B2 - Parkinson's disease with dyskinesia, with fluctuations
• ICD-10-CM G20.C - Parkinsonism, unspecified
• ICD-10-CM G25.0 - Essential tremor
• ICD-10-CM G25.2 - Other specified form of tremor
History
(Rev. 12435, Issued:12-28-23, Effective:01-29-24, Implementation:01-29-24)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
708c9ed1f6d2740525abf5d806279c48934921e6b2cb7b9e356ffa3cfb59fd2f
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