2025 ICD-10-CM Diagnosis Code G51.4

Facial myokymia

ICD-10-CM Code:
G51.4
ICD-10 Code for:
Facial myokymia
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Chronic
Code Navigator:

G51.4 is a billable diagnosis code used to specify a medical diagnosis of facial myokymia. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2024 through September 30, 2025.

Code Classification

  • Diseases of the nervous system
    G00–G99
    • Nerve, nerve root and plexus disorders
      G50-G59
      • Facial nerve disorders
        G51

Approximate Synonyms

The following list of clinical terms are approximate synonyms, alternative descriptions, or common phrases that might be used by patients, healthcare providers, or medical coders to describe the same condition. These synonyms and related diagnosis terms are often used when searching for an ICD-10 code, especially when the exact medical terminology is unclear. Whether you're looking for lay terms, similar diagnosis names, or common language alternatives, this list can help guide you to the correct ICD-10 classification.

  • Benign facial fasciculation
  • Facial myokymia
  • Facial myokymia
  • Familial dyskinesia and facial myokymia
  • Myokymia
  • Myokymia of eyelid
  • Myokymia of left facial muscle
  • Myokymia of left superior oblique muscle
  • Myokymia of right facial muscle
  • Myokymia of right superior oblique muscle
  • Myopathy of extraocular muscle of left eye
  • Myopathy of extraocular muscle of right eye
  • Superior oblique myokymia

Clinical Classification

Clinical Classifications group individual ICD-10-CM diagnosis codes into broader, clinically meaningful categories. These categories help simplify complex data by organizing related conditions under common clinical themes.

They are especially useful for data analysis, reporting, and clinical decision-making. Even when diagnosis codes differ, similar conditions can be grouped together based on their clinical relevance. Each category is assigned a unique CCSR code that represents a specific clinical concept, often tied to a body system or medical specialty.

Nerve and nerve root disorders

CCSR Code: NVS017

Inpatient Default: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.

Outpatient Default: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.

Clinical Information

  • Facial Nerve Diseases

    diseases of the facial nerve or nuclei. pontine disorders may affect the facial nuclei or nerve fascicle. the nerve may be involved intracranially, along its course through the petrous portion of the temporal bone, or along its extracranial course. clinical manifestations include facial muscle weakness, loss of taste from the anterior tongue, hyperacusis, and decreased lacrimation.
  • Hemifacial Spasm

    recurrent clonic contraction of facial muscles, restricted to one side. it may occur as a manifestation of compressive lesions involving the seventh cranial nerve (facial nerve diseases), during recovery from bell palsy, or in association with other disorders. (from adams et al., principles of neurology, 6th ed, p1378)
  • Isaacs Syndrome

    a rare neuromuscular disorder with onset usually in late childhood or early adulthood, characterized by intermittent or continuous widespread involuntary muscle contractions; fasciculation; hyporeflexia; muscle cramp; muscle weakness; hyperhidrosis; tachycardia; and myokymia. involvement of pharyngeal or laryngeal muscles may interfere with speech and breathing. the continuous motor activity persists during sleep and general anesthesia (distinguishing this condition from stiff-person syndrome). familial and acquired (primarily autoimmune) forms have been reported. (from ann ny acad sci 1998 may 13;841:482-496; adams et al., principles of neurology, 6th ed, p1491)
  • Myokymia

    successive and rapid contractions of motor units associated with chronic nerve injury. the discharges arise from the peripheral aspects of regenerating nerves, and clinically impart a nearly continuous undulation of the body surface overlying the muscle. (adams et al., principles of neurology, 6th ed, p1491)
  • Trochlear Nerve Diseases

    diseases of the fourth cranial (trochlear) nerve or its nucleus in the midbrain. the nerve crosses as it exits the midbrain dorsally and may be injured along its course through the intracranial space, cavernous sinus, superior orbital fissure, or orbit. clinical manifestations include weakness of the superior oblique muscle which causes vertical diplopia that is maximal when the affected eye is adducted and directed inferiorly. head tilt may be seen as a compensatory mechanism for diplopia and rotation of the visual axis. common etiologies include craniocerebral trauma and infratentorial neoplasms.
  • Myokymia

    a disorder characterized by involuntary and irregular muscle contractions not associated with muscle weakness or atrophy. it most often affects facial muscles. it may be localized or generalized.

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

Convert G51.4 to ICD-9-CM

Below are the ICD-9 codes that most closely match this ICD-10 code, based on the General Equivalence Mappings (GEMs). This ICD-10 to ICD-9 crosswalk tool is helpful for coders who need to reference legacy diagnosis codes for audits, historical claims, or approximate code comparisons.

Facial nerve dis NEC

ICD-9-CM: 351.8

Approximate Flag - The approximate mapping means this ICD-10 code does not have an exact ICD-9 equivalent. The matched code is the closest available option, but it may not fully capture the original diagnosis or clinical intent.

Patient Education


Facial Injuries and Disorders

Face injuries and disorders can cause pain and affect how you look. In severe cases, they can affect sight, speech, breathing and your ability to swallow. Fractures (broken bones), especially in the bones of your nose, cheekbone and jaw, are common facial injuries.

Certain diseases also lead to facial disorders. For example, nerve diseases like trigeminal neuralgia or Bell's palsy sometimes cause facial pain, spasms and trouble with eye or facial movement. Birth defects can also affect the face. They can cause underdeveloped or unusually prominent facial features or a lack of facial expression. Cleft lip and palate are a common facial birth defect.


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.

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.