2026 ICD-10-CM Diagnosis Code G45.0Vertebro-basilar artery syndrome

ICD-10-CM Codes›G00–G99›G40-G47›G45

ICD-10-CM G45.0
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

G45.0 is a billable ICD-10-CM diagnosis code for vertebro-basilar artery syndrome. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). Coders also document this condition as acute cerebral ischemia. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Transient cerebral ischemia.

Code Identity

ICD-10-CM Code
G45.0
Billable Status
Yes — Valid for Submission
Code Describes
Vertebro-basilar artery syndrome
Short Description
Vertebro-basilar artery syndrome
Same as the full description in the CMS dataset.
Parent Code
G45
Transient cerebral ischemic attacks and related syndromes

Code Classification

ChapterG00–G99Diseases of the nervous system
SectionG40-G47Episodic and paroxysmal disorders
CategoryG45Transient cerebral ischemic attacks and related syndromes
This CodeG45.0Vertebro-basilar artery syndrome

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Acute cerebral ischemia
  • Basilar artery syndrome
  • Extrinsic compression of artery
  • Vertebral artery syndrome
  • Vertebrobasilar artery syndrome
  • Vertebrobasilar territory transient ischemic attack

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Insufficiency, insufficient
      • arterial
        • basilar
    • Insufficiency, insufficient
      • arterial
        • vertebral
    • Syndrome
      • basilar artery
    • Syndrome
      • vertebral
        • artery
    • Syndrome
      • vertebral
        • steal
    • Syndrome
      • vertebro-basilar artery

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR NVS012
Transient cerebral ischemia
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Vertebral Artery Syndrome

    a syndrome which occurs as a result of the occlusion of one of the vertebral arteries. it may be caused by atherosclerosis, embolism or hemorrhage. collateral circulation through the circle of willis is usually comprised as well. clinical signs may include vertigo, nystagmus, dysarthria, ataxia and sensorimotor deficits. clinical course may lead to persistence of neurologic deficits. prognosis is variable with a substantial risk for recurrent infarction.

  • Basilar Artery Syndrome

    a syndrome which occurs as a result of the occlusion of the basilar artery. it may be caused by atherosclerosis, embolism or hemorrhage. clinical signs include dizziness, headache, vomiting, hemiparesis or hemiplegia, dysarthria, dysphagia, blurred vision and loss of consciousness. the clinical course is variable and is dependent upon the extent of the occlusion and the location of the clot along the basilar artery which determines the resultant neurologic impairment. prognosis is dismal in cases where a complete occlusion occurs with rapid deterioration of neurological function.

  • Vertebrobasilar Artery Syndrome|Vertebro-basilar artery syndrome

    temporary occlusion of the vertebral artery caused by rotation of the neck leading to symptoms of dizziness and vertigo, secondary to bone spurs or ligament impingement.

Patient EducationClinical

Transient Ischemic Attack

A transient ischemic attack (TIA) is a stroke that lasts only a few minutes. It happens when the blood supply to part of the brain is briefly blocked. Symptoms of a TIA are like other stroke symptoms, but do not last as long. They happen suddenly, and include:

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert G45.0 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
435.0 Basilar artery syndrome
Approximate The match is approximate rather than exact.
ICD-9-CM
435.1 Vertebral artery syndrom
Approximate The match is approximate rather than exact.
ICD-9-CM
435.3 Vertbrobaslr artery synd
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About G45.0Overview

Is G45.0 (Transient cerebral ischemic attacks and related syndromes) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report vertebro-basilar artery syndrome on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What is the ICD-9 equivalent of G45.0?

Under the General Equivalence Mappings, vertebro-basilar artery syndrome converts to ICD-9-CM 435.0 (basilar artery syndrome), 435.1 (vertebral artery syndrom), and 435.3 (vertbrobaslr artery synd). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.