ICD-10 Code G90.3 – Multi-system degeneration of the autonomic nervous system (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Multi-system degeneration of the autonomic nervous system is G90.3.
2026 ICD-10-CM Diagnosis Code G90.3 – Multi-system degeneration of the autonomic nervous system

What it is

G90.3 identifies multi-system degeneration of the autonomic nervous system, a disorder affecting involuntary body functions such as blood pressure, heart rate, and bladder control. It reflects a progressive autonomic failure syndrome.

Clinical signs

Clinical features commonly include orthostatic hypotension, urinary dysfunction, constipation, and abnormal sweating. Neurologic findings may vary; refer to documentation for the specific manifestations recorded.

When to use this code

Use G90.3 when the provider documents multi-system degeneration of the autonomic nervous system or a clearly equivalent diagnosis. Code it when the record supports autonomic failure as the primary condition, not merely a symptom list.

If the note describes a broader neurodegenerative disorder without naming this condition, check documentation before assigning the code. You should not infer G90.3 from nonspecific dizziness or fainting alone.

Do not use for

Do not use this code for isolated autonomic symptoms, such as simple syncope or dehydration-related low blood pressure. It is also not appropriate when the diagnosis is uncertain; check documentation.

Coding tip

Look for explicit provider wording of autonomic degeneration or autonomic failure before coding G90.3.

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