ICD-10-CM (2010)/CHAPTER 6
Appearance
Diseases of the nervous system (G00-G99)
[edit]- Excludes2: certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O99)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E90)
- injury, poisoning and certain other consequences of external causes (S00-T98)
- neoplasms (C00-D48)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
- This chapter contains the following blocks:
- G00-G09 Inflammatory diseases of the central nervous system
- G10-G14 Systemic atrophies primarily affecting the central nervous system
- G20-G26 Extrapyramidal and movement disorders
- G30-G32 Other degenerative diseases of the nervous system
- G35-G37 Demyelinating diseases of the central nervous system
- G40-G47 Episodic and paroxysmal disorders
- G50-G59 Nerve, nerve root and plexus disorders
- G60-G64 Polyneuropathies and other disorders of the peripheral nervous system
- G70-G73 Diseases of myoneural junction and muscle
- G80-G83 Cerebral palsy and other paralytic syndromes
- G89-G99 Other disorders of the nervous system
=Inflammatory diseases of the central nervous system (G00-G09) =
G00 Bacterial meningitis, not elsewhere classified
[edit]- Includes bacterial arachnoiditis
- bacterial leptomeningitis
- bacterial meningitis
- bacterial pachymeningitis
- Excludes1: bacterial:
- meningoencephalitis (G04.2)
- meningomyelitis (G04.2)
- G00.0 Hemophilus meningitis
- Meningitis due to Hemophilus influenzae
- G00.1 Pneumococcal meningitis
- G00.2 Streptococcal meningitis
- Use additional code to further identify organism (B95.0-B95.5)
- G00.3 Staphylococcal meningitis
- Use additional code to further identify organism (B95.6-B95.8)
- G00.8 Other bacterial meningitis
- Meningitis due to Escherichia coli
- Meningitis due to Friedl?nder bacillus
- Meningitis due to Klebsiella
- Use additional code to further identify organism (B96.-)
- G00.9 Bacterial meningitis, unspecified
- Meningitis due to gram-negative bacteria, unspecified
- Purulent meningitis NOS
- Pyogenic meningitis NOS
- Suppurative meningitis NOS
G01 Meningitis in bacterial diseases classified elsewhere
[edit]- Code first underlying disease
- Excludes1: meningitis (in):
- gonococcal (A54.81)
- leptospirosis (A27.81)
- listeriosis (A32.11)
- Lyme disease (A69.21)
- meningococcal (A39.0)
- neurosyphilis (A52.13)
- tuberculosis (A17.0)
- meningoencephalitis and meningomyelitis in bacterial diseases classified elsewhere (G05)
G02 Meningitis in other infectious and parasitic diseases classified elsewhere
[edit]- Code first underlying disease, such as:
- poliovirus infection (A80.-)
- Excludes1: meningitis (due to):
- candidal (B37.5)
- coccidioidomycosis (B38.4)
- cryptococcal meningitis (B45.1)
- herpesviral [herpes simplex] (B00.3)
- infectious mononucleosis (B27.-2)
- measles (B05.1)
- mumps (B26.1)
- rubella (B06.02)
- varicella [chickenpox] (B01.0)
- zoster (B02.1)
- meningoencephalitis and meningomyelitis in other infectious and parasitic diseases classified elsewhere (G05)
G03 Meningitis due to other and unspecified causes
[edit]- Includes arachnoiditis NOS
- leptomeningitis NOS
- meningitis NOS
- pachymeningitis NOS
- Excludes1: meningoencephalitis (G04.-)
- meningomyelitis (G04.-)
- G03.0 Nonpyogenic meningitis
- Aseptic meningitis
- Nonbacterial meningitis
- G03.1 Chronic meningitis
- G03.2 Benign recurrent meningitis [Mollaret]
- G03.8 Meningitis due to other specified causes
- G03.9 Meningitis, unspecified
- Arachnoiditis (spinal) NOS
G04 Encephalitis, myelitis and encephalomyelitis
[edit]- Includes acute ascending myelitis
- meningoencephalitis
- meningomyelitis
- Excludes1: encephalopathy NOS (G93.40)
- Excludes2: acute transverse myelitis (G37.3-)
- alcoholic encephalopathy (G31.2)
- benign myalgic encephalomyelitis (G93.3)
- multiple sclerosis (G35)
- subacute necrotizing myelitis (G37.4)
- toxic encephalitis (G92)
- toxic encephalopathy (G92)
- G04.0 Acute disseminated encephalitis and encephalomyelitis (ADEM)
- Excludes1: acute necrotizing hemorrhagic encephalopathy (G04.3-)
- G04. 00 Postinfectious acute disseminated encephalitis and encephalomyelitis (postinfectious ADEM)
- Acute disseminated encephalitis and encephalomyelitis NOS
- Excludes1: noninfectious acute disseminated encephalomyelitis (noninfectious ADEM) (G04.81)
- postchickenpox encephalitis (B01.1)
- postmeasles encephalitis (B05.0)
- postmeasles myelitis (B05.1)
- G04.01 Postimmunization acute disseminated encephalitis, myelitis and encephalomyelitis
- Encephalitis, postimmunization
- Encephalomyelitis, postimmunization
- Use additional code to identify the vaccine (T50.A-, T50.B-, T50.Z-)
- G04.1 Tropical spastic paraplegia
- G04.2 Bacterial meningoencephalitis and meningomyelitis, not elsewhere classified
- G04.3 Acute necrotizing hemorrhagic encephalopathy
- Excludes1: acute disseminated encephalitis and encephalomyelitis (G04.0-)
- G04.30 Postinfectious acute necrotizing hemorrhagic encephalopathy
- Acute necrotizing hemorrhagic encephalopathy NOS
- G04.31 Postimmunization acute necrotizing hemorrhagic encephalopathy
- Use additional code to identify the vaccine (T50.A-, T50.B-, T50.Z-)
- G04.8 Other encephalitis, myelitis and encephalomyelitis
- G04.81 Other encephalitis and encephalomyelitis
- Noninfectious acute disseminated encephalomyelitis (noninfectious ADEM)
- G04.89 Other myelitis
- G04.81 Other encephalitis and encephalomyelitis
- G04.9 Encephalitis, myelitis and encephalomyelitis, unspecified
- G04.90 Encephalitis and encephalomyelitis, unspecified
- Ventriculitis (cerebral) NOS
- G04.90 Encephalitis and encephalomyelitis, unspecified
- G04.91 Myelitis, unspecified
G05 Encephalitis, myelitis and encephalomyelitis in diseases classified elsewhere
[edit]- Code first underlying disease, such as:
- poliovirus (A80.-)
- suppurative otitis media (H66.01-H66.4)
- trichinellosis (B75)
- Excludes1: encephalitis, myelitis and encephalomyelitis (in):
- adenoviral ( A85.1)
- cytomegaloviral (B25.8)
- enteroviral (A85.0)
- herpesviral [herpes simplex] (B00.4)
- listerial (A32.12)
- measles (B05.0)
- meningococcal (A39.81)
- mumps (B26.2)
- postchickenpox (B01.1)
- rubella (B06.01)
- systemic lupus erythematosus (M32.19)
- toxoplasmosis (B58.2)
- congenital (P37.1)
- zoster (B02.0)
- eosinophilic meningoencephalitis (B83.2)
- G05.3 Encephalitis and encephalomyelitis in diseases classified elsewhere
- Meningoencephalitis in diseases classified elsewhere
- G05.4 Myelitis in diseases classified elsewhere
- Meningomyelitis in diseases classified elsewhere
- G06 Intracranial and intraspinal abscess and granuloma
- Use additional code (B95-B97) to identify infectious agent.
G06.0 Intracranial abscess and granuloma
[edit]- Brain [any part] abscess (embolic)
- Cerebellar abscess (embolic)
- Cerebral abscess (embolic)
- Intracranial epidural abscess or granuloma
- Intracranial extradural abscess or granuloma
- Intracranial subdural abscess or granuloma
- Otogenic abscess (embolic)
- Excludes1: tuberculous intracranial abscess and granuloma (A17.81)
- G06.1 Intraspinal abscess and granuloma
- Abscess (embolic) of spinal cord [any part]
- Intraspinal epidural abscess or granuloma
- Intraspinal extradural abscess or granuloma
- Intraspinal subdural abscess or granuloma
- Excludes1: tuberculous intraspinal abscess and granuloma (A17.81)
- G06.2 Extradural and subdural abscess, unspecified
G07 Intracranial and intraspinal abscess and granuloma in diseases classified elsewhere
[edit]- Code first, underlying disease, such as:
- schistosomiasis granuloma of brain (B65.-)
- Excludes1: abscess of brain:
- amebic (A06.6)
- chromomycotic (B43.1)
- gonococcal (A54.82)
- tuberculous ( A17.81)
- tuberculoma of meninges (A17.1)
G08 Intracranial and intraspinal phlebitis and thrombophlebitis
[edit]- Includes septic embolism of intracranial or intraspinal venous sinuses and veins
- septic endophlebitis of intracranial or intraspinal venous sinuses and veins
- septic phlebitis of intracranial or intraspinal venous sinuses and veins
- septic thrombophlebitis of intracranial or intraspinal venous sinuses and veins
- septic thrombosis of intracranial or intraspinal venous sinuses and veins
- Excludes1: intracranial phlebitis and thrombophlebitis complicating:
- abortion, ectopic or molar pregnancy (O00-O07, O08.7)
- pregnancy, childbirth and the puerperium (O22.5, O87.3)
- nonpyogenic intracranial phlebitis and thrombophlebitis (I67.6)
- nonpyogenic intraspinal phlebitis and thrombophlebitis (G95.1)
G09 Sequelae of inflammatory diseases of central nervous system
[edit]- Note: Category G09 is to be used to indicate conditions whose primary classification is to G00-G08 as the cause of sequelae, themselves classifiable elsewhere. The "sequelae" include conditions specified as residuals.
- Code first condition resulting from (sequela) of inflammatory diseases of central nervous system
Systemic atrophies primarily affecting the central nervous system (G10-G14)
[edit]G10 Huntington's disease
[edit]- Includes Huntington's chorea
- Huntington's dementia
G11 Hereditary ataxia
[edit]- Excludes2: cerebral palsy (G80.-)
- hereditary and idiopathic neuropathy (G60.-)
- metabolic disorders (E70-E90)
- G11.0 Congenital nonprogressive ataxia
- G11.1 Early-onset cerebellar ataxia
- Early-onset cerebellar ataxia with essential tremor
- Early-onset cerebellar ataxia with myoclonus [Hunt's ataxia]
- Early-onset cerebellar ataxia with retained tendon reflexes
- Friedreich's ataxia (autosomal recessive)
- X-linked recessive spinocerebellar ataxia
- G11. 2 Late-onset cerebellar ataxia
- G11.3 Cerebellar ataxia with defective DNA repair
- Ataxia telangiectasia [Louis-Bar]
- Excludes2: Cockayne's syndrome (Q87.1)
- other disorders of purine and pyrimidine metabolism (E79.-)
- xeroderma pigmentosum (Q82.1)
- G11.4 Hereditary spastic paraplegia
- G11.8 Other hereditary ataxias
- G11.9 Hereditary ataxia, unspecified
- Hereditary cerebellar ataxia NOS
- Hereditary cerebellar degeneration
- Hereditary cerebellar disease
- Hereditary cerebellar syndrome
G12 Spinal muscular atrophy and related syndromes
[edit]- G12.0 Infantile spinal muscular atrophy, type I [Werdnig-Hoffman]
- G12.1 Other inherited spinal muscular atrophy
- Adult form spinal muscular atrophy
- Childhood form, type II spinal muscular atrophy
- Distal spinal muscular atrophy
- Juvenile form, type III spinal muscular atrophy [Kugelberg-Welander]
- Progressive bulbar palsy of childhood [Fazio-Londe]
- Scapuloperoneal form spinal muscular atrophy
- G12.2 Motor neuron disease
- G12.20 Motor neuron disease, unspecified
- G12.21 Amyotrophic lateral sclerosis
- Progressive spinal muscle atrophy
- G12.22 Progressive bulbar palsy
- G12.29 Other motor neuron disease
- Familial motor neuron disease
- Primary lateral sclerosis
- G12.8 Other spinal muscular atrophies and related syndromes
- G12.9 Spinal muscular atrophy, unspecified
G13 Systemic atrophies primarily affecting central nervous system in diseases classified elsewhere
[edit]- G13.0 Paraneoplastic neuromyopathy and neuropathy
- Carcinomatous neuromyopathy
- Sensorial paraneoplastic neuropathy [Denny Brown]
- Code first underlying neoplasm (C00-D48)
- G13.1 Other systemic atrophy primarily affecting central nervous system in neoplastic disease
- Paraneoplastic limbic encephalopathy
- Code first underlying neoplasm (C00-D48)
- G13.8 Systemic atrophy primarily affecting central nervous system in other diseases classified elsewhere
- Code first underlying disease, such as:
- cerebellar ataxia (in):
- hypothyroidism (E03.-)
- myxedematous congenital iodine deficiency (E00.1)
- Code first underlying disease, such as:
G14 Postpolio syndrome
[edit]- Postpolio myelitic syndrome
- Excludes1: sequelae of poliomyelitis (B91)
Extrapyramidal and movement disorders (G20-G26)
[edit]G20 Parkinson's disease
[edit]- Includes hemiparkinsonism
- idiopathic Parkinsonism or Parkinson's disease
- paralysis agitans
- Parkinsonism or Parkinson's disease NOS
- primary Parkinsonism or Parkinson's disease
- Excludes1: dementia with Parkinsonism (G31.83)
G21 Secondary parkinsonism
[edit]- Excludes1: dementia with Parkinsonism (G31.83)
- Huntington's disease (G10)
- Shy-Drager syndrome (G90.3)
- syphilitic Parkinsonism (A52.19)
- G21.0 Malignant neuroleptic syndrome
- Code first (T43.3-T43.5) to identify drug
- Excludes1: neuroleptic induced parkinsonism (G21.11)
- G21.1 Other drug-induced secondary parkinsonism
- G21.11 Neuroleptic induced parkinsonism
- Code first (T43.3-T43.5) to identify drug
- Excludes1: malignant neuroleptic syndrome (G21.0)
- G21.19 Other drug induced secondary parkinsonism
- Code first (T36-T50) to identify drug
- G21.11 Neuroleptic induced parkinsonism
- G21.2 Secondary parkinsonism due to other external agents
- Code first (T51-T65) to identify external agent
- G21.3 Postencephalitic parkinsonism
- G21.4 Vascular parkinsonism
- G21.8 Other secondary parkinsonism
- G21.9 Secondary parkinsonism, unspecified
G23 Other degenerative diseases of basal ganglia
[edit]- Excludes2: multi-system degeneration of the autonomic nervous system (G90.3)
- G23.0 Hallervorden-Spatz disease
- Pigmentary pallidal degeneration
- G23.1 Progressive supranuclear ophthalmoplegia [Steele-Richardson-Olszewski]
- G23.2 Striatonigral degeneration
- G23. 8 Other specified degenerative diseases of basal ganglia
- Calcification of basal ganglia
- G23.9 Degenerative disease of basal ganglia, unspecified
G24 Dystonia
[edit]- Includes dyskinesia
- Excludes2: athetoid cerebral palsy (G80.3)
- G24.0 Drug induced dystonia
- Code first (T36-T50) to identify drug
- G24.01 Drug induced subacute dyskinesia
- Drug induced blepharospasm
- Drug induced orofacial dyskinesia
- Neuroleptic induced tardive dyskinesia
- Tardive dyskinesia
- G24.02 Drug induced acute dystonia
- Acute dystonic reaction to drugs
- Neuroleptic induced acute dystonia
- G24.09 Other drug induced dystonia
- G24.1 Genetic torsion dystonia
- Dystonia deformans progressiva
- Dystonia musculorum deformans
- Familial torsion dystonia
- Idiopathic familial dystonia
- Idiopathic (torsion) dystonia NOS
- (Schwalbe-) Ziehen-Oppenheim disease
- G24.2 Idiopathic nonfamilial dystonia
- G24.3 Spasmodic torticollis
- Excludes1: congenital torticollis (Q68.0)
- hysterical torticollis (F44.4)
- ocular torticollis (R29.891)
- psychogenic torticollis (F45.8)
- torticollis NOS (M43.6)
- traumatic recurrent torticollis (S13.4)
- Excludes1: congenital torticollis (Q68.0)
- G24.4 Idiopathic orofacial dystonia
- Orofacial dyskinesia
- Excludes1: drug induced orofacial dyskinesia (G24.01)
- G24.5 Blepharospasm
- Excludes1: drug induced blepharospasm (G24.01)
- G24.8 Other dystonia
- Acquired torsion dystonia NOS
- G24.9 Dystonia, unspecified
- Dyskinesia NOS
G25 Other extrapyramidal and movement disorders
[edit]- Excludes2: sleep related movement disorders (G47.6-)
- G25.0 Essential tremor
- Familial tremor
- Excludes1: tremor NOS (R25.1)
- G25.1 Drug-induced tremor
- Code first (T36-T50) to identify drug
- G25.2 Other specified forms of tremor
- Intention tremor
- G25.3 Myoclonus
- Drug-induced myoclonus
- Palatal myoclonus
- Code first (T36-T50) to identify drug, if drug-induced
- Excludes1: facial myokymia (G51.4)
- myoclonic epilepsy (G40.-)
- G25.4 Drug-induced chorea
- Code first (T36-T50) to identify drug
- G25.5 Other chorea
- Chorea NOS
- Excludes1: chorea NOS with heart involvement (I02.0)
- Huntington's chorea (G10)
- rheumatic chorea (I02.-)
- Sydenham's chorea (I02.-)
- G25.6 Drug induced tics and other tics of organic origin
- G25.61 Drug induced tics
- Code first (T36-T50) to identify drug
- G25.69 Other tics of organic origin
- Excludes1: habit spasm (F95.9)
- tic NOS (F95.9)
- Tourette?s syndrome (F95.2)
- Excludes1: habit spasm (F95.9)
- G25.61 Drug induced tics
- G25.7 Other and unspecified drug induced movement disorders
- Code first (T36-T50) to identify drug
- G25.70 Drug induced movement disorder, unspecified
- G25.71 Drug induced akathisia
- Drug induced acathisia
- Neuroleptic induced acute akathisia
- G25.79 Other drug induced movement disorders
- G25.8 Other specified extrapyramidal and movement disorders
- G25.81 Restless legs syndrome
- G25.82 Stiff-man syndrome
- G25.89 Other specified extrapyramidal and movement disorders
- G25.9 Extrapyramidal and movement disorder, unspecified
G26 Extrapyramidal and movement disorders in diseases classified elsewhere
[edit]- Code first underlying disease
Other degenerative diseases of the nervous system (G30-G32)
G30 Alzheimer's disease
[edit]- Includes Alzheimer's dementia senile and presenile forms
- Use additional code to identify:
- delirium, if applicable (F05)
- dementia with behavioral disturbance (F02.81)
- dementia without behavioral disturbance (F02.80)
- Excludes1: senile degeneration of brain NEC (G31.1)
- senile dementia NOS (F03)
- senility NOS (R41.81)
- G30.0 Alzheimer's disease with early onset
- G30.1 Alzheimer's disease with late onset
- G30.8 Other Alzheimer's disease
- G30.9 Alzheimer's disease, unspecified
G31 Other degenerative diseases of nervous system, not elsewhere classified
[edit]- Use additional code to identify:
- dementia with behavioral disturbance (F02.81)
- dementia without behavioral disturbance (F02.80)
- Excludes2: Reye's syndrome (G93.7)
- G31.0 Frontotemporal dementia
- G31.01 Pick's disease
- Circumscribed brain atrophy
- Progressive isolated aphasia
- G31.09 Other frontotemporal dementia
- Frontal dementia
- G31.01 Pick's disease
- G31.1 Senile degeneration of brain, not elsewhere classified
- Excludes1: Alzheimer's disease (G30.-)
- senility NOS (R41.81)
- Excludes1: Alzheimer's disease (G30.-)
- G31.2 Degeneration of nervous system due to alcohol
- Alcoholic cerebellar ataxia
- Alcoholic cerebellar degeneration
- Alcoholic cerebral degeneration
- Alcoholic encephalopathy
- Dysfunction of the autonomic nervous system due to alcohol
- Code also associated alcoholism (F10.-)
- G31.8 Other specified degenerative diseases of nervous system
- G31.81 Alpers disease
- Grey-matter degeneration
- G31.82 Leigh's disease
- Subacute necrotizing encephalopathy
- G31.83 Dementia with Lewy bodies
- Dementia with Parkinsonism
- Lewy body dementia
- Lewy body disease
- G31.84 Mild cognitive impairment, so stated
- Excludes1: age related cognitive decline (R41.81)
- altered mental status (R41.82)
- cerebral degeneration (G31.9)
- change in mental status (R41.82)
- cognitive deficits following (sequelae of) cerebral hemorrhage or infarction (I69.01, I69.11, I69.21, I69.31, I69.81, I69.91)
- cognitive impairment due to intracranial or head injury (S06.-)
- dementia (F01.-, F02.-, F03)
- mild memory disturbance (F06.8)
- neurologic neglect syndrome (R41.4)
- personality change, nonpsychotic (F68.8)
- Excludes1: age related cognitive decline (R41.81)
- G31.89 Other specified degenerative diseases of nervous system
- G31.81 Alpers disease
- G31.9 Degenerative disease of nervous system, unspecified
G32 Other degenerative disorders of nervous system in diseases classified elsewhere
[edit]- G32.0 Subacute combined degeneration of spinal cord in diseases classified elsewhere
- Dana-Putnam syndrome
- Sclerosis of spinal cord (combined) (dorsolateral) (posterolateral)
- Code first underlying disease, such as:
- vitamin B12 deficiency (E53.8)
- anemia (D51.9)
- dietary (D51.3)
- pernicious (D51.0)
- Excludes1: syphilitic combined degeneration of spinal cord (A52.11)
- G32.8 Other specified degenerative disorders of nervous system in diseases classified elsewhere
- Degenerative encephalopathy in diseases classified elsewhere
- Code first underlying disease, such as:
- cerebral degeneration (due to):
- amyloid (E85.-)
- hypothyroidism (E00.-, E03.-)
- neoplasm (C00-D48)
- vitamin B deficiency, except thiamine (E52-E53.-)
- Excludes1: superior hemorrhagic polioencephalitis [Wernicke's encephalopathy] (E51.2)
Demyelinating diseases of the central nervous system (G35-G37)
G35 Multiple sclerosis
[edit]- Includes disseminated multiple sclerosis
- generalized multiple sclerosis
- multiple sclerosis NOS
- multiple sclerosis of brain stem
- multiple sclerosis of cord
- Includes disseminated multiple sclerosis
G36 Other acute disseminated demyelination
[edit]- Excludes1: postinfectious encephalitis and encephalomyelitis NOS (G04.020)
- G36.0 Neuromyelitis optica [Devic]
- Demyelination in optic neuritis
- Excludes1: optic neuritis NOS (H46)
- G36.1 Acute and subacute hemorrhagic leukoencephalitis [Hurst]
- G36.8 Other specified acute disseminated demyelination
- G36.9 Acute disseminated demyelination, unspecified
G37 Other demyelinating diseases of central nervous system
[edit]- G37.0 Diffuse sclerosis of central nervous system
- Periaxial encephalitis
- Schilder's disease
- Excludes1: X linked adrenoleukodystrophy (E71.42-)
- G37.1 Central demyelination of corpus callosum
- G37.2 Central pontine myelinolysis
- G37.3 Acute transverse myelitis in demyelinating disease of central nervous system
- Acute transverse myelitis NOS
- Acute transverse myelopathy
- Excludes1: multiple sclerosis (G35)
- neuromyelitis optica [Devic] (G36.0)
- G37.4 Subacute necrotizing myelitis of central nervous system
- G37.5 Concentric sclerosis [Balo] of central nervous system
- G37.8 Other specified demyelinating diseases of central nervous system
- G37.9 Demyelinating disease of central nervous system, unspecified
Episodic and paroxysmal disorders (G40-G47)
[edit]G40 Epilepsy and recurrent seizures
[edit]- Note: the following terms are to be considered equivalent to intractable: pharmacoresistant (pharmacologically resistant), treatment resistant, refractory (medically) and poorly controlled
- Excludes1: conversion disorder with seizures (F44.5)
- convulsions NOS (R56.9)
- hippocampal sclerosis (G93.81)
- Landau-Kleffner syndrome (F80.3)
- mesial temporal sclerosis (G93.81)
- seizure (convulsive) NOS (R56.9)
- seizure of newborn (P90)
- temporal sclerosis (G93.81)
- Todd's paralysis (G83.8)
- G40.0 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset
- Benign childhood epilepsy with centrotemporal EEG spikes
- Childhood epilepsy with occipital EEG paroxysms
- Excludes1: adult onset localization-related epilepsy (G40.1-, G40.2-)
- G40.00 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, not intractable
- Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset without intractability
- G40.001 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, not intractable, with status epilepticus
- G40.009 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, not intractable, without status epilepticus
- Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset NOS
- G40.01 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, intractable
- G40.011 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, intractable, with status epilepticus
- G40.019 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, intractable, without status epilepticus
- G40.1 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures
- Attacks without alteration of consciousness
- Simple partial seizures developing into secondarily generalized seizures
- G40.10 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, not intractable
- Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures without intractability
- G40.101 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, not intractable, with status epilepticus
- G40.109 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, not intractable, without status epilepticus
- Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures NOS
- G40.11 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, intractable
- G40.111 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, intractable, with status epilepticus
- G40.119 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, intractable, without status epilepticus
- G40.2 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures
- Attacks with alteration of consciousness, often with automatisms
- Complex partial seizures developing into secondarily generalized seizures
- G40.20 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, not intractable
- Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures without intractability
- G40.201 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, not intractable, with status epilepticus
- G40.209 Localization-related (focal) (partial) symptomatic epilepsy and epileptic
- syndromes with complex partial seizures, not intractable, without status epilepticus
- Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures NOS
- G40.21 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, intractable
- G40.211 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, intractable, with status epilepticus
- G40.219 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, intractable, without status epilepticus
- G40.3 Generalized idiopathic epilepsy and epileptic syndromes
- Benign myoclonic epilepsy in infancy
- Benign neonatal convulsions (familial)
- Childhood absence epilepsy [pyknolepsy]
- Epilepsy with grand mal seizures on awakening
- Grand mal seizure NOS
- Juvenile absence epilepsy
- Juvenile myoclonic epilepsy [impulsive petit mal]
- Nonspecific atonic epileptic seizures
- Nonspecific clonic epileptic seizures
- Nonspecific myoclonic epileptic seizures
- Nonspecific tonic epileptic seizures
- Nonspecific tonic-clonic epileptic seizures
- Petit mal seizure NOS
- Code also: MERRF syndrome, if applicable, (M88.32)
- G40.30 Generalized idiopathic epilepsy and epileptic syndromes, not intractable
- Generalized idiopathic epilepsy and epileptic syndromes without intractability
- G40.301 Generalized idiopathic epilepsy and epileptic syndromes, not intractable, with status epilepticus
- G40.309 Generalized idiopathic epilepsy and epileptic syndromes, not intractable, without status epilepticus
- Generalized idiopathic epilepsy and epileptic syndromes NOS
- G40.31 Generalized idiopathic epilepsy and epileptic syndromes, intractable
- G40. 311 Generalized idiopathic epilepsy and epileptic syndromes, intractable, with status epilepticus
- G40.319 Generalized idiopathic epilepsy and epileptic syndromes, intractable, without status epilepticus
- G40.4 Other generalized epilepsy and epileptic syndromes
- Epilepsy with myoclonic absences
- Epilepsy with myoclonic-astatic seizures
- Infantile spasms
- Lennox-Gastaut syndrome
- Salaam attacks
- Symptomatic early myoclonic encephalopathy
- West's syndrome
- G40.40 Other generalized epilepsy and epileptic syndromes, not intractable
- Other generalized epilepsy and epileptic syndromes without intractability
- Other generalized epilepsy and epileptic syndromes NOS
- G40.401 Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus
- G40.409 Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus
- G40.41 Other generalized epilepsy and epileptic syndromes, intractable
- G40.411 Other generalized epilepsy and epileptic syndromes, intractable, with status epilepticus
- G40.419 Other generalized epilepsy and epileptic syndromes, intractable, without status epilepticus
- G40.5 Special epileptic syndromes
- Epilepsia partialis continua [Kozhevnikof]
- Epileptic seizures related to alcohol
- Epileptic seizures related to drugs
- Epileptic seizures related to hormonal changes
- Epileptic seizures related to sleep deprivation
- Epileptic seizures related to stress
- G40.50 Special epileptic syndromes, not intractable
- Special epileptic syndromes without intractability
- G40.501 Special epileptic syndromes, not intractable, with status epilepticus
- G40. 509 Special epileptic syndromes, not intractable, without status epilepticus
- Special epileptic syndromes NOS
- G40.51 Special epileptic syndromes, intractable
- G40.511 Special epileptic syndromes, intractable, with status epilepticus
- G40.519 Special epileptic syndromes, intractable, without status epilepticus
- G40.8 Other epilepsy and seizures
- Epilepsies and epileptic syndromes undetermined as to whether they are focal or generalized
- G40.80 Other epilepsy, not intractable
- Other epilepsy without intractability
- G40.801 Other epilepsy, not intractable, with status epilepticus
- G40.809 Other epilepsy, not intractable, without status epilepticus
- Other epilepsy NOS
- G40.81 Other epilepsy, intractable
- G40.811 Other epilepsy, intractable, with status epilepticus
- G40.819 Other epilepsy, intractable, without status epilepticus
- G40.89 Other seizures
- Excludes1: recurrent seizures NOS (G40.909)
- seizure NOS (R56.9)
- Excludes1: recurrent seizures NOS (G40.909)
- G40.9 Epilepsy, unspecified
- G40.90 Epilepsy, unspecified, not intractable
- Epilepsy, unspecified, without intractability
- G40.901 Epilepsy, unspecified, not intractable, with status epilepticus
- G40.909 Epilepsy, unspecified, not intractable, without status epilepticus
- Epilepsy NOS
- Epileptic convulsions NOS
- Epileptic fits NOS
- Epileptic seizures NOS
- Recurrent seizures NOS
- G40.91 Epilepsy, unspecified, intractable
- Intractable seizure disorder NOS
- G40.911 Epilepsy, unspecified, intractable, with status epilepticus
- G40.919 Epilepsy, unspecified, intractable, without status epilepticus
- G40.90 Epilepsy, unspecified, not intractable
G43 Migraine
[edit]- Note: the following terms are to be considered equivalent to intractable: pharmacoresistant (pharmacologically resistant), treatment resistant, refractory (medically) and poorly controlled
- Excludes1: headache NOS (R51)
- headache syndromes (G44.-)
- lower half migraine (G44.00)
- G43.0 Migraine without aura
- Common migraine
- Excludes1: chronic migraine without aura (G43.7)
- G43.00 Migraine without aura, not intractable
- G43.001 Migraine without aura, not intractable, with status migrainosus
- G43.009 Migraine without aura, not intractable, without status migrainosus
- Migraine without aura NOS
- G43.01 Migraine without aura, intractable
- G43.011 Migraine without aura, intractable, with status migrainosus
- G43.019 Migraine without aura, intractable, without status migrainosus
- G43.1 Migraine with aura
- Basilar migraine
- Classical migraine
- Migraine equivalents
- Migraine preceded or accompanied by transient focal neurological phenomena
- Migraine triggered seizures
- Migraine with acute-onset aura
- Migraine with aura without headache (migraine equivalents)
- Migraine with prolonged aura
- Migraine with typical aura
- Retinal migraine
- Code also any associated seizure (G40.-, R56.9)
- Excludes1: persistent migraine aura (G43.5-, G43.6-)
- G43.10 Migraine with aura, not intractable
- G43.101 Migraine with aura, not intractable, with status migrainosus
- G43.109 Migraine with aura, not intractable, without status migrainosus
- Migraine with aura NOS
- G43.11 Migraine with aura, intractable
- G43.111 Migraine with aura, intractable, with status migrainosus
- G43.119 Migraine with aura, intractable, without status migrainosus
- G43. 4 Hemiplegic migraine
- Familial migraine
- Sporadic migraine
- G43.40 Hemiplegic migraine, not intractable
- G43.401 Hemiplegic migraine, not intractable, with status migrainosus
- G43.409 Hemiplegic migraine, not intractable, without status migrainosus
- Hemiplegic migraine NOS
- G43.41 Hemiplegic migraine, intractable
- G43.411 Hemiplegic migraine, intractable, with status migrainosus
- G43.419 Hemiplegic migraine, intractable, without status migrainosus
- G43.5 Persistent migraine aura without cerebral infarction
- G43.50 Persistent migraine aura without cerebral infarction, not intractable
- G43.501 Persistent migraine aura without cerebral infarction, not intractable, with status migrainosus
- G43.509 Persistent migraine aura without cerebral infarction, not intractable, without status migrainosus
- Persistent migraine aura NOS
- G43.51 Persistent migraine aura without cerebral infarction, intractable
- G43.511 Persistent migraine aura without cerebral infarction, intractable, with status migrainosus
- G43.519 Persistent migraine aura without cerebral infarction, intractable, without status migrainosus
- G43.50 Persistent migraine aura without cerebral infarction, not intractable
- G43.6 Persistent migraine aura with cerebral infarction
- Code also the type of cerebral infarction (I63.-)
- G43.60 Persistent migraine aura with cerebral infarction, not intractable
- G43.601 Persistent migraine aura with cerebral infarction, not intractable, with status migrainosus
- G43.609 Persistent migraine aura with cerebral infarction, not intractable, without status migrainosus
- G43.61 Persistent migraine aura with cerebral infarction, intractable
- G43. 611 Persistent migraine aura with cerebral infarction, intractable, with status migrainosus
- G43.619 Persistent migraine aura with cerebral infarction, intractable, without status migrainosus
- G43.7 Chronic migraine without aura
- Transformed migraine
- Excludes1: migraine without aura (G43.0-)
- G43.70 Chronic migraine without aura, not intractable
- G43.701 Chronic migraine without aura, not intractable, with status migrainosus
- G43.709 Chronic migraine without aura, not intractable, without status migrainosus
- Chronic migraine without aura NOS
- G43.71 Chronic migraine without aura, intractable
- G43.711 Chronic migraine without aura, intractable, with status migrainosus
- G43.719 Chronic migraine without aura, intractable, without status migrainosus
- G43.a Cyclical vomiting
- G43.a0 Cyclical vomiting, not intractable
- G43.a01 Cyclical vomiting, not intractable, with status migrainosus
- G43.a09 Cyclical vomiting, not intractable, without status migrainosus
- Cyclical vomiting NOS
- G43.a1 Cyclical vomiting, intractable
- G43.a11 Cyclical vomiting, intractable, with status migrainosus
- G43.a19 Cyclical vomiting, intractable, without status migrainosus
- G43.a0 Cyclical vomiting, not intractable
- G43.b Ophthalmoplegic migraine
- G43.b0 Ophthalmoplegic migraine, not intractable
- G43.b01 Ophthalmoplegic migraine, not intractable, with status migrainosus
- G43.b09 Ophthalmoplegic migraine, not intractable, without status migrainosus
- Ophthalmoplegic migraine NOS
- G43.b1 Ophthalmoplegic migraine, intractable
- G43.b11 Ophthalmoplegic migraine, intractable, with status migrainosus
- G43.b19 Ophthalmoplegic migraine, intractable, without status migrainosus
- G43.b0 Ophthalmoplegic migraine, not intractable
- G43.c Periodic headache syndromes in child or adult
- G43. c0 Periodic headache syndromes in child or adult, not intractable
- G43.c01 Periodic headache syndromes in child or adult, not intractable, with status migrainosus
- G43.c09 Periodic headache syndromes in child or adult, not intractable, without status migrainosus
- Periodic headache syndromes in child or adult NOS
- G43.c1 Periodic headache syndromes in child or adult, intractable
- G43.c11 Periodic headache syndromes in child or adult, intractable, with status migrainosus
- G43.c19 Periodic headache syndromes in child or adult, intractable, without status migrainosus
- G43. c0 Periodic headache syndromes in child or adult, not intractable
- G43.d Menstrual migraine
- Menstrual headache
- Menstrually related migraine
- Pre-menstrual headache
- Pre-menstrual migraine
- Pure menstrual migarine
- Code also associated premenstrual tension syndrome (N94.3)
- G43.d0 Menstrual migraine, not intractable
- G43.d01 Menstrual migraine, not intractable, with status migrainosus
- G43.d09 Menstrual migraine, not intractable, without status migrainosus
- Menstrual migraine NOS
- G43.d1 Menstrual migraine, intractable
- G43.d11 Menstrual migraine, intractable, with status migrainosus
- G43.d19 Menstrual migraine, intractable, without status migrainosus
- G43.8 Other migraine
- G43.80 Other migraine, not intractable
- G43.801 Other migraine, not intractable, with status migrainosus
- G43.809 Other migraine, not intractable, without status migrainosus
- G43.81 Other migraine, intractable
- G43.811 Other migraine, intractable, with status migrainosus
- G43.819 Other migraine, intractable, without status migrainosus
- G43.80 Other migraine, not intractable
- G43.9 Migraine, unspecified
- G43.90 Migraine, unspecified, not intractable
- G43.901 Migraine, unspecified, not intractable, with status migrainosus
- Status migrainosus NOS
- G43.909 Migraine, unspecified, not intractable, without status migrainosus
- Migraine NOS
- G43.901 Migraine, unspecified, not intractable, with status migrainosus
- G43.91 Migraine, unspecified, intractable
- G43.911 Migraine, unspecified, not intractable, with status migrainosus
- G43.919 Migraine, unspecified, not intractable, without status migrainosus
- G43.90 Migraine, unspecified, not intractable
G44 Other headache syndromes
[edit]- Excludes1: headache NOS (R51)
- Excludes2: atypical facial pain (G50.1)
- headache due to lumbar puncture (G97.1)
- migraines (G43.-)
- trigeminal neuralgia (G50.0)
- G44.0 Cluster headaches and other trigeminal autonomic cephalgias (TAC)
- G44.00 Cluster headache syndrome, unspecified
- Ciliary neuralgia
- Cluster headache NOS
- Histamine cephalgia
- Lower half migraine
- Migrainous neuralgia
- G44.001 Cluster headache syndrome, unspecified, intractable
- G44.009 Cluster headache syndrome, unspecified, not intractable
- Cluster headache syndrome NOS
- G44.01 Episodic cluster headache
- G44.011 Episodic cluster headache, intractable
- G44.019 Episodic cluster headache, not intractable
- Episodic cluster headache NOS
- G44.02 Chronic cluster headache
- G44.021 Chronic cluster headache, intractable
- G44.029 Chronic cluster headache, not intractable
- Chronic cluster headache NOS
- G44.03 Episodic paroxysmal hemicrania
- Paroxysmal hemicrania NOS
- G44.031 Episodic paroxysmal hemicrania, intractable
- G44.039 Episodic paroxysmal hemicrania, not intractable
- Episodic paroxysmal hemicrania NOS
- G44.04 Chronic paroxysmal hemicrania
- G44.041 Chronic paroxysmal hemicrania, intractable
- G44. 049 Chronic paroxysmal hemicrania, not intractable
- Chronic paroxysmal hemicrania NOS
- G44.05 Short lasting unilateral neuralgiform headache with conjunctival injection and tearing (SUNCT)
- G44.051 Short lasting unilateral neuralgiform headache with conjunctival injection and tearing (SUNCT), intractable
- G44.059 Short lasting unilateral neuralgiform headache with conjunctival injection and tearing (SUNCT), not intractable
- Short lasting unilateral neuralgiform headache with conjunctival injection and tearing (SUNCT) NOS
- G44.09 Other trigeminal autonomic cephalgias (TAC)
- G44.091 Other trigeminal autonomic cephalgias (TAC), intractable
- G44.099 Other trigeminal autonomic cephalgias (TAC), not intractable
- G44.00 Cluster headache syndrome, unspecified
- G44.1 Vascular headache, not elsewhere classified
- G44.10 Vascular headache, not elsewhere classified, not intractable
- Vascular headache NOS
- G44.11 Vascular headache, not elsewhere classified, intractable
- G44.10 Vascular headache, not elsewhere classified, not intractable
- G44.2 Tension-type headache
- G44.20 Tension-type headache, unspecified
- G44.201 Tension-type headache, unspecified, intractable
- G44.209 Tension-type headache, unspecified, not intractable
- Tension headache NOS
- G44.21 Episodic tension-type headache
- G44.211 Episodic tension-type headache, intractable
- G44.219 Episodic tension-type headache, not intractable
- Episodic tension-type headache NOS
- G44.22 Chronic tension-type headache
- G44.221 Chronic tension-type headache, intractable
- G44.229 Chronic tension-type headache, not intractable
- Chronic tension-type headache NOS
- G44.20 Tension-type headache, unspecified
- G44.3 Post-traumatic headache
- Code first: postconcussional syndrome (F07.81)
- G44.30 Post-traumatic headache, unspecified
- G44.301 Post-traumatic headache, unspecified, intractable
- G44. 309 Post-traumatic headache, unspecified, not intractable
- Post-traumatic headache NOS
- G44.31 Acute post-traumatic headache
- G44.311 Acute post-traumatic headache, intractable
- G44.319 Acute post-traumatic headache, not intractable
- Acute post-traumatic headache NOS
- G44.32 Chronic post-traumatic headache
- G44.321 Chronic post-traumatic headache, intractable
- G44.329 Chronic post-traumatic headache, not intractable
- Chronic post-traumatic headache NOS
- G44.4 Drug-induced headache, not elsewhere classified
- Medication overuse headache
- Code first (T36-T50) to identify drug
- G44.40 Drug-induced headache, not elsewhere classified, not intractable
- G44.41 Drug-induced headache, not elsewhere classified, intractable
- G44.5 Complicated headache syndromes
- G44.51 Hemicrania continua
- G44.52 New daily persistent headache (NDPH)
- G44.53 Primary thunderclap headache
- G44.59 Other complicated headache syndrome
- G44.8 Other specified headache syndromes
- G44.81 Hypnic headache
- G44.82 Headache associated with sexual activity
- Orgasmic headache
- Preorgasmic headache
- G44.83 Primary cough headache
- G44.84 Primary exertional headache
- G44.85 Primary stabbing headache
- G44.89 Other headache syndrome
G45 Transient cerebral ischemic attacks and related syndromes
[edit]- Excludes1: neonatal cerebral ischemia (P91.0)
- transient retinal artery occlusion (H34.0-)
- G45.0 Vertebro-basilar artery syndrome
- G45.1 Carotid artery syndrome (hemispheric)
- G45.2 Multiple and bilateral precerebral artery syndromes
- G45.3 Amaurosis fugax
- G45.4 Transient global amnesia
- Excludes1: amnesia NOS (R41.3)
- G45.8 Other transient cerebral ischemic attacks and related syndromes
- G45.9 Transient cerebral ischemic attack, unspecified
- Spasm of cerebral artery
- TIA
- Transient cerebral ischemia NOS
G46 Vascular syndromes of brain in cerebrovascular diseases
[edit]- Code first underlying cerebrovascular disease (I60-I69)
- G46.0 Middle cerebral artery syndrome
- G46.1 Anterior cerebral artery syndrome
- G46.2 Posterior cerebral artery syndrome
- G46.3 Brain stem stroke syndrome
- Benedikt syndrome
- Claude syndrome
- Foville syndrome
- Millard-Gubler syndrome
- Wallenberg syndrome
- Weber syndrome
- G46.4 Cerebellar stroke syndrome
- G46.5 Pure motor lacunar syndrome
- G46.6 Pure sensory lacunar syndrome
- G46.7 Other lacunar syndromes
- G46.8 Other vascular syndromes of brain in cerebrovascular diseases
G47 Sleep disorders
[edit]- Excludes2: nightmares (F51.5)
- nonorganic sleep disorders (F51.-)
- sleep terrors (F51.4)
- sleepwalking (F51.3)
- G47.0 Insomnia
- Excludes2: alcohol related insomnia (F10.182, F10.282, F10.982)
- drug related insomnia (F11.182, F11.282, F11.982, F13.182, F13.282, F13.982, F14.182, F14.282, F14.982, F15.182, F15.282, F15.982, F19.182, F19.282, F19.982)
- idiopathic insomnia (F51.01)
- insomnia due to a mental disorder (F51.05)
- insomnia not due to a substance or known physiological condition (F51.0-)
- nonorganic insomnia (F51.0-)
- primary insomnia (F51.01)
- sleep apnea (G47.3-)
- G47.00 Insomnia, unspecified
- Insomnia NOS
- G47.01 Insomnia due to medical condition
- Code also associated medical condition
- G47.09 Other insomnia
- Excludes2: alcohol related insomnia (F10.182, F10.282, F10.982)
- G47.1 Hypersomnia
- Excludes2: alcohol-related hypersomnia (F10.182, F10.282, F10.982)
- drugrelated hypersomnia (F11.182, F11.282, F11.982, F13.182, F13.282, F13.982, F14.182, F14.282, F14.982, F15.182, F15.282, F15.982, F19.182, F19.282, F19.982)
- hypersomnia due to a mental disorder (F51.13)
- hypersomnia not due to a substance or known physiological condition (F51.11)
- primary hypersomnia (F51.11)
- sleep apnea (G47.3-)
- G47.10 Hypersomnia, unspecified
- Hypersomnia NOS
- G47.11 Idiopathic hypersomnia with long sleep time
- Idiopathic hypersomnia NOS
- G47.12 Idiopathic hypersomnia without long sleep time
- G47.13 Recurrent hypersomnia
- Kleine-Levin syndrome
- Menstrual related hypersomnia
- G47.14 Hypersomnia due to medical condition
- Code also associated medical condition
- G47.19 Other hypersomnia
- Excludes2: alcohol-related hypersomnia (F10.182, F10.282, F10.982)
- G47.2 Circadian rhythm sleep disorders
- Disorders of the sleep wake schedule
- Inversion of nyctohemeral rhythm
- Inversion of sleep rhythm
- G47.20 Circadian rhythm sleep disorder, unspecified type
- Sleep wake schedule disorder NOS
- G47.21 Circadian rhythm sleep disorder, delayed sleep phase type
- Delayed sleep phase syndrome
- G47.22 Circadian rhythm sleep disorder, advanced sleep phase type
- G47.23 Circadian rhythm sleep disorder, irregular sleep wake type
- Irregular sleep-wake pattern
- G47.24 Circadian rhythm sleep disorder, free running type
- G47.25 Circadian rhythm sleep disorder, jet lag type
- G47.26 Circadian rhythm sleep disorder, shift work type
- G47.27 Circadian rhythm sleep disorder in conditions classified elsewhere
- Code first underlying condition
- G47.29 Other circadian rhythm sleep disorder
- G47.3 Sleep apnea
- Code also any associated underlying condition
- Excludes1: apnea NOS R06.81
- Cheyne-Stokes breathing (R06.3)
- pickwickian syndrome (E66.2)
- sleep apnea of newborn (P28.3)
- G47. 30 Sleep apnea, unspecified
- Sleep apnea NOS
- G47.31 Primary central sleep apnea
- G47.32 High altitude periodic breathing
- G47.33 Obstructive sleep apnea (adult) (pediatric)
- G47.34 Idiopathic sleep related nonobstructive alveolar hypoventilation
- Sleep related hypoxia
- G47.35 Congenital central alveolar hypoventilation syndrome
- G47.36 Sleep related hypoventilation in conditions classified elsewhere
- Sleep related hypoxemia in conditions classified elsewhere
- Code first underlying condition
- G47.37 Central sleep apnea in conditions classified elsewhere
- Code first underlying condition
- G47.39 Other sleep apnea
- G47.4 Narcolepsy and cataplexy
- G47.41 Narcolepsy
- G47.411 Narcolepsy with cataplexy
- G47.419 Narcolepsy without cataplexy
- Narcolepsy NOS
- G47.42 Narcolepsy in conditions classified elsewhere
- G47.421 Narcolepsy in conditions classified elsewhere with cataplexy
- G47.429 Narcolepsy in conditions classified elsewhere without cataplexy
- G47.41 Narcolepsy
- G47.5 Parasomnia
- Excludes1: alcohol induced parasomnia (F10.182, F10.282, F10.982)
- drug induced parasomnia (F11.182, F11.282, F11.982, F13.182, F13.282, F13.982, F14.182, F14.282, F14.982, F15.182, F15.282, F15.982, F19.182, F19.282, F19.982)
- parasomnia not due to a substance or known physiological condition (F51.8)
- G47.50 Parasomnia, unspecified
- Parasomnia NOS
- G47.51 Confusional arousals
- G47.52 REM sleep behavior disorder
- G47.53 Recurrent isolated sleep paralysis
- G47.54 Parasomnia in conditions classified elsewhere
- Code first underlying condition
- G47.59 Other parasomnia
- Excludes1: alcohol induced parasomnia (F10.182, F10.282, F10.982)
- G47.6 Sleep related movement disorders
- Excludes2: restless legs syndrome (G25.81)
- G47.61 Periodic limb movement disorder
- G47.62 Sleep related leg cramps
- G47.63 Sleep related bruxism
- Excludes1: psychogenic bruxism (F45.8)
- G47.69 Other sleep related movement disorders
- G47.8 Other sleep disorders
- G47.9 Sleep disorder, unspecified
- Sleep disorder NOS
Nerve, nerve root and plexus disorders (G50-G59)
[edit]- Excludes1: current traumatic nerve, nerve root and plexus disorders - see Injury, nerve by body region
- neuralgia NOS (M79.2)
- neuritis NOS (M79.2)
- peripheral neuritis in pregnancy (O26.82-)
- radiculitis NOS (M54.1-)
G50 Disorders of trigeminal nerve
[edit]- Includes disorders of 5th cranial nerve
- G50.0 Trigeminal neuralgia
- Syndrome of paroxysmal facial pain
- Tic douloureux
- G50.1 Atypical facial pain
- G50.8 Other disorders of trigeminal nerve
- G50.9 Disorder of trigeminal nerve, unspecified
G51 Facial nerve disorders
[edit]- Includes disorders of 7th cranial nerve
- G51.0 Bell's palsy
- Facial palsy
- G51.1 Geniculate ganglionitis
- Excludes1: postherpetic geniculate ganglionitis (B02.21)
- G51.2 Melkersson's syndrome
- Melkersson-Rosenthal syndrome
- G51.3 Clonic hemifacial spasm
- G51.4 Facial myokymia
- G51.8 Other disorders of facial nerve
- G51.9 Disorder of facial nerve, unspecified
G52 Disorders of other cranial nerves
[edit]- Excludes2: disorders of acoustic [8th] nerve (H93.3)
- disorders of optic [2nd] nerve (H46, H47.0)
- paralytic strabismus due to nerve palsy (H49.0-H49.2)
- G52.0 Disorders of olfactory nerve
- Disorders of 1st cranial nerve
- G52.1 Disorders of glossopharyngeal nerve
- Disorder of 9th cranial nerve
- Glossopharyngeal neuralgia
- G52.2 Disorders of vagus nerve
- Disorders of pneumogastric [10th] nerve
- G52.3 Disorders of hypoglossal nerve
- Disorders of 12th cranial nerve
- G52.7 Disorders of multiple cranial nerves
- Polyneuritis cranialis
- G52.8 Disorders of other specified cranial nerves
- G52.9 Cranial nerve disorder, unspecified
G53 Cranial nerve disorders in diseases classified elsewhere
[edit]- Code first underlying disease, such as:
- neoplasm (C00-D48)
- Excludes1: multiple cranial nerve palsy in sarcoidosis (D86.82)
- multiple cranial nerve palsy in syphilis (A52.15)
- postherpetic geniculate ganglionitis (B02.21)
- postherpetic trigeminal neuralgia (B02.22)
G54 Nerve root and plexus disorders
[edit]- Excludes1: current traumatic nerve root and plexus disorders - see nerve injury by body region
- intervertebral disc disorders (M50-M51)
- neuralgia or neuritis NOS (M79.2)
- neuritis or radiculitis:
- brachial NOS (M54.13)
- lumbar NOS (M54.16)
- lumbosacral NOS (M54.17)
- thoracic NOS (M54.14)
- radiculitis NOS (M54.10)
- radiculopathy NOS (M54.10)
- spondylosis (M47.-)
- G54.0 Brachial plexus disorders
- Thoracic outlet syndrome
- G54.1 Lumbosacral plexus disorders
- G54.2 Cervical root disorders, not elsewhere classified
- G54.3 Thoracic root disorders, not elsewhere classified
- G54.4 Lumbosacral root disorders, not elsewhere classified
- G54.5 Neuralgic amyotrophy
- Parsonage-Aldren-Turner syndrome
- Shoulder-girdle neuritis
- Excludes1: neuralgic amyotrophy in diabetes mellitus (E09-E13 with .44)
- G54.6 Phantom limb syndrome with pain
- G54.7 Phantom limb syndrome without pain
- Phantom limb syndrome NOS
- G54. 8 Other nerve root and plexus disorders
- G54.9 Nerve root and plexus disorder, unspecified
G55 Nerve root and plexus compressions in diseases classified elsewhere
[edit]- Code first underlying disease, such as:
- neoplasm (C00-D48)
- Excludes1: nerve root compression (due to) (in):
- ankylosing spondylitis (M45.-)
- dorsopathies (M53.-, M54.-)
- intervertebral disc disorders (M50.1.-, M51.1.-)
- spondylopathies (M46.-, M48.-)
- spondylosis (M47.0-M47.2.-)
G56 Mononeuropathies of upper limb
[edit]- Excludes1: current traumatic nerve disorder - see nerve injury by body region
- G56.0 Carpal tunnel syndrome
- G56.00 Carpal tunnel syndrome, unspecified side
- G56.01 Carpal tunnel syndrome, right side
- G56.02 Carpal tunnel syndrome, left side
- G56.1 Other lesions of median nerve
- G56.10 Other lesions of median nerve, unspecified side
- G56.11 Other lesions of median nerve, right side
- G56.12 Other lesions of median nerve, left side
- G56.2 Lesion of ulnar nerve
- Tardy ulnar nerve palsy
- G56.20 Lesion of ulnar nerve, unspecified side
- G56.21 Lesion of ulnar nerve, right side
- G56.22 Lesion of ulnar nerve, left side
- G56.3 Lesion of radial nerve
- G56.30 Lesion of radial nerve, unspecified side
- G56.31 Lesion of radial nerve, right side
- G56.32 Lesion of radial nerve, left side
- G56.4 Causalgia of upper limb
- Complex regional pain syndrome II of upper limb
- Excludes1: complex regional pain syndrome I of lower limb (G90.52-)
- complex regional pain syndrome I of upper limb (G90.51-)
- complex regional pain syndrome II of lower limb (G57.7-)
- reflex sympathetic dystrophy of lower limb (G90.52-)
- reflex sympathetic dystrophy of upper limb (G90.51-)
- G56.40 Causalgia of upper limb, unspecified side
- G56.41 Causalgia of upper limb, right side
- G56.42 Causalgia of upper limb, left side
- G56.8 Other mononeuropathies of upper limb
- Interdigital neuroma of upper limb
- G56.80 Other mononeuropathies of upper limb, unspecified side
- G56. 81 Other mononeuropathies of upper limb, right side
- G56.82 Other mononeuropathies of upper limb, left side
- G56.9 Mononeuropathy of upper limb, unspecified
- G56.90 Mononeuropathy of upper limb, unspecified, unspecified side
- G56.91 Mononeuropathy of upper limb, unspecified, right side
- G56.92 Mononeuropathy of upper limb, unspecified, left side
G57 Mononeuropathies of lower limb
[edit]- Excludes1: current traumatic nerve disorder - see nerve injury by body region
- G57.0 Lesion of sciatic nerve
- Excludes1: sciatica NOS (M54.3-)
- Excludes2: sciatica attributed to intervertebral disc disorder (M51.1.-)
- G57.00 Lesion of sciatic nerve, unspecified side
- G57.01 Lesion of sciatic nerve, right side
- G57.02 Lesion of sciatic nerve, left side
- G57.1 Meralgia paresthetica
- Lateral cutaneous nerve of thigh syndrome
- G57.10 Meralgia paresthetica, unspecified side
- G57.11 Meralgia paresthetica, right side
- G57.12 Meralgia paresthetica, left side
- G57.2 Lesion of femoral nerve
- G57.20 Lesion of femoral nerve, unspecified side
- G57.21 Lesion of femoral nerve, right side
- G57.22 Lesion of femoral nerve, left side
- G57.3 Lesion of lateral popliteal nerve
- Peroneal nerve palsy
- G57.30 Lesion of lateral popliteal nerve, unspecified side
- G57.31 Lesion of lateral popliteal nerve, right side
- G57.32 Lesion of lateral popliteal nerve, left side
- G57.4 Lesion of medial popliteal nerve
- G57.40 Lesion of medial popliteal nerve, unspecified side
- G57.41 Lesion of medial popliteal nerve, right side
- G57.42 Lesion of medial popliteal nerve, left side
- G57.5 Tarsal tunnel syndrome
- G57.50 Tarsal tunnel syndrome, unspecified side
- G57.51 Tarsal tunnel syndrome, right side
- G57.52 Tarsal tunnel syndrome, left side
- G57.6 Lesion of plantar nerve
- Morton's metatarsalgia
- G57.60 Lesion of plantar nerve, unspecified side
- G57.61 Lesion of plantar nerve, right side
- G57.62 Lesion of plantar nerve, left side
- G57.7 Causalgia of lower limb
- Complex regional pain syndrome II of lower limb
- Excludes1: complex regional pain syndrome I of lower limb (G90.52-)
- complex regional pain syndrome I of upper limb (G90.51-)
- complex regional pain syndrome II of upper limb (G56.4-)
- reflex sympathetic dystrophy of lower limb (G90.52-)
- reflex sympathetic dystrophy of upper limb (G90.51-)
- G57.70 Causalgia of lower limb, unspecified side
- G57.71 Causalgia of lower limb, right side
- G57.72 Causalgia of lower limb, left side
- G57.8 Other mononeuropathies of lower limb
- Interdigital neuroma of lower limb
- G57.80 Other mononeuropathies of lower limb, unspecified side
- G57.81 Other mononeuropathies of lower limb, right side
- G57.82 Other mononeuropathies of lower limb, left side
- G57.9 Mononeuropathy of lower limb, unspecified
- G57.90 Mononeuropathy of lower limb, unspecified, unspecified side
- G57.91 Mononeuropathy of lower limb, unspecified, right side
- G57.92 Mononeuropathy of lower limb, unspecified, left side
G58 Other mononeuropathies
[edit]- G58.0 Intercostal neuropathy
- G58.7 Mononeuritis multiplex
- G58.8 Other specified mononeuropathies
- G58.9 Mononeuropathy, unspecified
G59 Mononeuropathy in diseases classified elsewhere
[edit]- Code first underlying disease
- Excludes1: diabetic mononeuropathy (E09-E14 with .41)
- syphilitic nerve paralysis (A52.19)
- syphilitic neuritis (A52.15)
- tuberculous mononeuropathy (A17.83)
Polyneuropathies and other disorders of the peripheral nervous system (G60-G64)
[edit]- Excludes1: neuralgia NOS (M79.2)
- neuritis NOS (M79.2)
- peripheral neuritis in pregnancy (O26.82-)
- radiculitis NOS (M54.10)
G60 Hereditary and idiopathic neuropathy
[edit]- G60.0 Hereditary motor and sensory neuropathy
- Charcot-Marie-Tooth disease
- Déjérine-Sottas disease
- Hereditary motor and sensory neuropathy, types I-IV
- Hypertrophic neuropathy of infancy
- Peroneal muscular atrophy (axonal type) (hypertrophic type)
- RoussyLevy syndrome
- G60.1 Refsum's disease
- Infantile Refsum disease
- G60.2 Neuropathy in association with hereditary ataxia
- G60.3 Idiopathic progressive neuropathy
- G60.8 Other hereditary and idiopathic neuropathies
- Dominantly inherited sensory neuropathy
- Morvan's disease
- Nelaton's syndrome
- Recessively inherited sensory neuropathy
- G60.9 Hereditary and idiopathic neuropathy, unspecified
G61 Inflammatory polyneuropathy
[edit]- G61.0 Guillain-Barre syndrome
- Acute (post-)infective polyneuritis
- Miller Fisher Syndrome
- G61.1 Serum neuropathy
- Code first (T50.9-) to identify serum
- G61.8 Other inflammatory polyneuropathies
- G61.81 Chronic inflammatory demyelinating polyneuritis
- G61.89 Other inflammatory polyneuropathies
- G61.9 Inflammatory polyneuropathy, unspecified
G62 Other and unspecified polyneuropathies
[edit]- G62.0 Drug-induced polyneuropathy
- Code first (T36-T50) to identify drug
- G62.1 Alcoholic polyneuropathy
- G62.2 Polyneuropathy due to other toxic agents
- Code first (T51-T65) to identify toxic agent.
- G62.8 Other specified polyneuropathies
- G62.81 Critical illness polyneuropathy
- Acute motor neuropathy
- G62.82 Radiation-induced polyneuropathy
- Use additional external cause code (W88-W90, X39.0-) to identify cause
- G62.89 Other specified polyneuropathies
- G62.81 Critical illness polyneuropathy
- G62.9 Polyneuropathy, unspecified
- Neuropathy NOS
G63 Polyneuropathy in diseases classified elsewhere
[edit]- Code first underlying disease, such as:
- amyloidosis (E85.-)
- endocrine disease, except diabetes (E00-E07, E15-E16, E20-E34)
- metabolic diseases (E70-E89)
- neoplasm (C00-D48)
- nutritional deficiency (E40-E64)
- Excludes1: polyneuropathy (in):
- diabetes mellitus (E09-E13 with .42)
- diphtheria (A36.83)
- infectious mononucleosis (B27.0-B27.9 with 1)
- Lyme disease (A69.22)
- mumps (B26.84)
- postherpetic (B02.23)
- rheumatoid arthritis (M05.33)
- scleroderma (M34.83)
- systemic lupus erythematosus (M32.19)
G64 Other disorders of peripheral nervous system
[edit]- Disorder of peripheral nervous system NOS
G65 Sequelae of inflammatory and toxic polyneuropathies
[edit]- Code first condition resulting from (sequela) of inflammatory and toxic polyneuropathies
- G65.0 Sequelae of Guillain-Barr? syndrome
- G65.1 Sequelae of other inflammatory polyneuropathy
- G65.2 Sequelae of toxic polyneuropathy
Diseases of myoneural junction and muscle (G70-G73)
[edit]G70 Myasthenia gravis and other myoneural disorders
[edit]- Excludes1: botulism (A05.1, A48.51- A48.52)
- transient neonatal myasthenia gravis (P94.0)
- G70.0 Myasthenia gravis
- G70.00 Myasthenia gravis without (acute) exacerbation
- Myasthenia gravis NOS
- G70.01 Myasthenia gravis with (acute) exacerbation
- Myasthenia gravis in crisis
- G70.00 Myasthenia gravis without (acute) exacerbation
- G70.1 Toxic myoneural disorders
- Code first (T51-T65) to identify toxic agent.
- G70.2 Congenital and developmental myasthenia
- G70.8 Other specified myoneural disorders
- G70.9 Myoneural disorder, unspecified
G71 Primary disorders of muscles
[edit]- Excludes2: arthrogryposis multiplex congenita (Q74.3)
- metabolic disorders (E70-E90)
- myositis (M60.-)
- G71.0 Muscular dystrophy
- Autosomal recessive, childhood type, muscular dystrophy resembling Duchenne or Becker muscular dystrophy
- Benign [Becker] muscular dystrophy
- Benign scapuloperoneal muscular dystrophy with early contractures [Emery-Dreifuss]
- Distal muscular dystrophy
- Facioscapulohumeral muscular dystrophy
- Limb-girdle muscular dystrophy
- Ocular muscular dystrophy
- Oculopharyngeal muscular dystrophy
- Scapuloperoneal muscular dystrophy
- Severe [Duchenne] muscular dystrophy
- Excludes1: congenital muscular dystrophy NOS (G71.2)
- congenital muscular dystrophy with specific morphological abnormalities of the muscle fiber (G71.2)
- G71.1 Myotonic disorders
- G71.11 Myotonic muscular dystrophy
- Dystrophia myotonica [Steinert]
- Myotonia atrophica
- Myotonic dystrophy
- Proximal myotonic myopathy (PROMM)
- Steinert disease
- G71.12 Myotonia congenita
- Acetazolamide responsive myotonia congenita
- Dominant myotonia congenita [Thomsen disease]
- Myotonia levior
- Recessive myotonia congenita [Becker disease]
- G71.13 Myotonic chondrodystrophy
- Chondrodystrophic myotonia
- Congenital myotonic chondrodystrophy
- Schwartz-Jampel disease
- G71.14 Drug induced myotonia
- Code first (T36-T50) to identify drug
- G71.19 Other specified myotonic disorders
- Myotonia fluctuans
- Myotonia permanens
- Neuromyotonia [Isaacs]
- Paramyotonia congenita (of von Eulenburg)
- Pseudomyotonia
- Symptomatic myotonia
- G71.11 Myotonic muscular dystrophy
- G71.2 Congenital myopathies
- Central core disease
- Congenital muscular dystrophy NOS
- Congenital muscular dystrophy with specific morphological abnormalities of the muscle fiber
- Fiber-type disproportion
- Minicore disease
- Multicore disease
- Myotubular (centronuclear) myopathy
- Nemaline myopathy
- Excludes1: arthrogryposis multiplex congenita (Q74.3)
- G71. 3 Mitochondrial myopathy, not elsewhere classified
- Excludes1: Kearns-Sayre syndrome (H49.81)
- Leber's disease (H47.21)
- Leigh's encephalopathy (G31.82)
- mitochondrial metabolism disorders (E88.4.-)
- Reye's syndrome (G93.7)
- Excludes1: Kearns-Sayre syndrome (H49.81)
- G71.8 Other primary disorders of muscles
- G71.9 Primary disorder of muscle, unspecified
- Hereditary myopathy NOS
G72 Other and unspecified myopathies
[edit]- Excludes1: arthrogryposis multiplex congenita (Q74.3)
- dermatopolymyositis (M33.-)
- ischemic infarction of muscle (M62.2-)
- myositis (M60.-)
- polymyositis (M33.2.-)
- G72.0 Drug-induced myopathy
- Code first (T36-T50) to identify drug
- G72.1 Alcoholic myopathy
- Use additional code to identify alcoholism (F10.-)
- G72.2 Myopathy due to other toxic agents
- Code first (T51-T65) to identify toxic agent.
- G72.3 Periodic paralysis
- Familial periodic paralysis
- Hyperkalemic periodic paralysis (familial)
- Hypokalemic periodic paralysis (familial)
- Myotonic periodic paralysis (familial)
- Normokalemic paralysis (familial)
- Potassium sensitive periodic paralysis
- Excludes1: paramyotonia congenita (of von Eulenburg) (G71.19)
- G72.4 Inflammatory and immune myopathies, not elsewhere classified
- G72.41 Inclusion body myositis [IBM]
- G72.49 Other inflammatory and immune myopathies, not elsewhere classified
- Inflammatory myopathy NOS
- G72.8 Other specified myopathies
- G72.81 Critical illness myopathy
- Acute necrotizing myopathy
- Acute quadriplegic myopathy
- Intensive care (ICU) myopathy
- Myopathy of critical illness
- G72.89 Other specified myopathies
- G72.81 Critical illness myopathy
- G72.9 Myopathy, unspecified
G73 Disorders of myoneural junction and muscle in diseases classified elsewhere
[edit]- G73. 1 Lambert-Eaton syndrome
- Code first underlying disease, such as:
- malignant neoplasm of lung (C34.-)
- other neoplastic disease (C00-D48)
- Excludes1: Lambert-Eaton syndrome not associated with neoplasm (G70.8)
- Code first underlying disease, such as:
- G73.3 Myasthenic syndromes in other diseases classified elsewhere
- Code first underlying disease, such as:
- neoplasm (C00-D498)
- thyrotoxicosis (E05.-)
- Code first underlying disease, such as:
- G73.7 Myopathy in diseases classified elsewhere
- Code first underlying disease, such as:
- hyperparathyroidism (E21.0, E21.3)
- hypoparathyroidism (E20.-)
- glycogen storage disease (E74.0)
- lipid storage disorders (E75.-)
- Excludes1: myopathy in:
- rheumatoid arthritis (M05.32)
- sarcoidosis (D86.87)
- scleroderma (M34.82)
- sicca syndrome [Sj?gren] (M35.03)
- systemic lupus erythematosus (M32.19)
- Code first underlying disease, such as:
Cerebral palsy and other paralytic syndromes (G80-G83)
[edit]G80 Cerebral palsy
[edit]- Excludes1: hereditary spastic paraplegia (G11.4)
- G80.0 Spastic quadriplegic cerebral palsy
- Congenital spastic paralysis (cerebral)
- G80.1 Spastic diplegic cerebral palsy
- Spastic cerebral palsy NOS
- G80.2 Spastic hemiplegic cerebral palsy
- G80.3 Athetoid cerebral palsy
- Double athetosis (syndrome)
- Dyskinetic cerebral palsy
- Dystonic cerebral palsy
- Vogt disease
- G80.4 Ataxic cerebral palsy
- G80.8 Other cerebral palsy
- Mixed cerebral palsy syndromes
- G80.9 Cerebral palsy, unspecified
- Cerebral palsy NOS
G81 Hemiplegia and hemiparesis
[edit]- Note: This category is to be used only when hemiplegia (complete)(incomplete) is reported without further specification, or is stated to be old or
- longstanding but of unspecified cause. The category is also for use in multiple coding to identify these types of hemiplegia resulting from any cause.
- Excludes1: congenital cerebral palsy (G80.-)
- hemiplegia and hemiparesis due to sequela of cerebrovascular disease (I69.05-, I69.15-, I69.25-, I69.35-, I69.45-, I69.85-, I69.95-)
- G81.0 Flaccid hemiplegia
- G81.00 Flaccid hemiplegia affecting unspecified side
- G81.01 Flaccid hemiplegia affecting right dominant side
- G81.02 Flaccid hemiplegia affecting left dominant side
- G81.03 Flaccid hemiplegia affecting right nondominant side
- G81.04 Flaccid hemiplegia affecting left nondominant side
- G81.1 Spastic hemiplegia
- G81.10 Spastic hemiplegia affecting unspecified side
- G81.11 Spastic hemiplegia affecting right dominant side
- G81.12 Spastic hemiplegia affecting left dominant side
- G81.13 Spastic hemiplegia affecting right nondominant side
- G81.14 Spastic hemiplegia affecting left nondominant side
- G81.9 Hemiplegia, unspecified
- G81.90 Hemiplegia, unspecified affecting unspecified side
- G81.91 Hemiplegia, unspecified affecting right dominant side
- G81.92 Hemiplegia, unspecified affecting left dominant side
- G81.93 Hemiplegia, unspecified affecting right nondominant side
- G81.94 Hemiplegia, unspecified affecting left nondominant side
G82 Paraplegia (paraparesis) and quadriplegia (quadriparesis)
[edit]- Note: This category is to be used only when the listed conditions are reported without further specification, or are stated to be old or longstanding but of unspecified cause. The category is also for use in multiple coding to identify these conditions resulting from any cause
- Excludes1: congenital cerebral palsy (G80.-)
- functional quadriplegia (R53.2)
- hysterical paralysis (F44.4)
- G82.2 Paraplegia
- Paralysis of both lower limbs NOS
- Paraparesis (lower) NOS
- Paraplegia (lower) NOS
- G82.20 Paraplegia, unspecified
- G82.21 Paraplegia, complete
- G82.22 Paraplegia, incomplete
- G82.5 Quadriplegia
- G82.50 Quadriplegia, unspecified
- G82.51 Quadriplegia, C1-C4 complete
- G82.52 Quadriplegia, C1-C4 incomplete
- G82.53 Quadriplegia, C5-C7 complete
- G82. 54 Quadriplegia, C5-C7 incomplete
G83 Other paralytic syndromes
[edit]- Note: This category is to be used only when the listed conditions are reported without further specification, or are stated to be old or longstanding but of unspecified cause. The category is also for use in multiple coding to identify these conditions resulting from any cause.
- Includes paralysis (complete) (incomplete), except as in G80-G82
- G83.0 Diplegia of upper limbs
- Diplegia (upper)
- Paralysis of both upper limbs
- G83.1 Monoplegia of lower limb
- Paralysis of lower limb
- Excludes1: monoplegia of lower limbs due to sequela of cerebrovascular disease (I69.04-, I69.14-, I69.24-, I69.34-, I69.44-, I69.84-, I69.94-)
- G83.10 Monoplegia of lower limb affecting unspecified side
- G83.11 Monoplegia of lower limb affecting right dominant side
- G83.12 Monoplegia of lower limb affecting left dominant side
- G83.13 Monoplegia of lower limb affecting right nondominant side
- G83.14 Monoplegia of lower limb affecting left nondominant side
- G83.2 Monoplegia of upper limb
- Paralysis of upper limb
- Excludes1: monoplegia of upper limbs due to sequela of cerebrovascular disease (I69.03-, I69.13-, I69.23-, I69.33-, I69.43-, I69.83-, I69.93-)
- G83.20 Monoplegia of upper limb affecting unspecified side
- G83.21 Monoplegia of upper limb affecting right dominant side
- G83.22 Monoplegia of upper limb affecting left dominant side
- G83.23 Monoplegia of upper limb affecting right nondominant side
- G83.24 Monoplegia of upper limb affecting left nondominant side
- G83.3 Monoplegia, unspecified
- G83.30 Monoplegia, unspecified affecting unspecified side
- G83.31 Monoplegia, unspecified affecting right dominant side
- G83.32 Monoplegia, unspecified affecting left dominant side
- G83.33 Monoplegia, unspecified affecting right nondominant side
- G83.34 Monoplegia, unspecified affecting left nondominant side
- G83.4 Cauda equina syndrome
- Neurogenic bladder due to cauda equina syndrome
- Excludes1: cord bladder NOS (G95.8)
- neurogenic bladder NOS (N31.9)
- G83. 5 Locked-in state
- G83.8 Other specified paralytic syndromes
- Excludes1: paralytic syndromes due to current spinal cord injury-code to spinal cord injury (S14, S24, S34)
- G83.81 Brown-Sequard syndrome
- G83.82 Anterior cord syndrome
- G83.83 Posterior cord syndrome
- G83.84 Todd's paralysis (postepileptic)
- G83.89 Other specified paralytic syndromes
- G83.9 Paralytic syndrome, unspecified
Other disorders of the nervous system (G89-G99)
[edit]G89 Pain, not elsewhere classified
[edit]- Code also related psychological factors associated with pain (F45.42)
- Excludes1: generalized pain NOS (R52)
- pain disorders exclusively related to psychological factors (F45.41)
- pain NOS (R52)
- Excludes2: atypical face pain (G50.1)
- headache syndromes (G44.-)
- localized pain, unspecified type - code to pain by site, such as:
- abdomen pain (R10.-)
- back pain (M54.9)
- breast pain (N64.4)
- chest pain (R07.1-R07.9)
- ear pain (H92.0-)
- eye pain (H57.1)
- headache (R51)
- joint pain (M25.5-)
- limb pain (M79.6-)
- lumbar region pain (M54.57)
- painful urination (R30.9)
- pelvic and perineal pain (R10.2)
- shoulder pain (M25.51-)
- spine pain (M54.-)
- throat pain (R07.0)
- tongue pain (K14.6)
- tooth pain (K08.8)
- renal colic (N23)
- migraines (G43.-)
- myalgia (M79.1)
- pain from prosthetic devices, implants, and grafts (T82.84, T83.84, T84.84, T85.84)
- phantom limb syndrome with pain (G54.6)
- vulvar vestibulitis (N94.810)
- vulvodynia (N94.81-)
- G89.0 Central pain syndrome
- Déjérine-Roussy syndrome
- Myelopathic pain syndrome
- Thalamic pain syndrome (hyperesthetic)
- G89.1 Acute pain, not elsewhere classified
- G89.11 Acute pain due to trauma
- G89.12 Acute post-thoracotomy pain
- Post-thoracotomy pain NOS
- G89.18 Other acute postprocedural pain
- Postoperative pain NOS
- Postprocedural pain NOS
- G89.2 Chronic pain, not elsewhere classified
- Excludes1: causalgia, lower limb (G57.7-)
- causalgia, upper limb (G56.4-)
- central pain syndrome (G89.0)
- chronic pain syndrome (G89.4)
- complex regional pain syndrome II, lower limb (G57.7-)
- complex regional pain syndrome II, upper limb (G56.4-)
- neoplasm related chronic pain (G89.3)
- reflex sympathetic dystrophy (G90.5-)
- G89.21 Chronic pain due to trauma
- G89.22 Chronic post-thoracotomy pain
- G89.28 Other chronic postprocedural pain
- Other chronic postoperative pain
- Excludes1: causalgia, lower limb (G57.7-)
- G89.3 Neoplasm related pain (acute) (chronic)
- Cancer associated pain
- Pain due to malignancy (primary) (secondary)
- Tumor associated pain
- G89.4 Chronic pain syndrome
- Chronic pain associated with significant psychosocial dysfunction
G90 Disorders of autonomic nervous system
[edit]- Excludes1: dysfunction of the autonomic nervous system due to alcohol (G31.2)
- G90.0 Idiopathic peripheral autonomic neuropathy
- G90.01 Carotid sinus syncope
- Carotid sinus syndrome
- G90.09 Other idiopathic peripheral autonomic neuropathy
- Idiopathic peripheral autonomic neuropathy NOS
- G90.01 Carotid sinus syncope
- G90.1 Familial dysautonomia [Riley-Day]
- G90.2 Horner's syndrome
- Bernard(-Horner) syndrome
- Cervical sympathetic dystrophy or paralysis
- G90.3 Multi-system degeneration of the autonomic nervous system
- Neurogenic orthostatic hypotension [Shy-Drager]
- Excludes1: orthostatic hypotension NOS (I95.1)
- G90.4 Autonomic dysreflexia
- Use additional code to identify the cause, such as:
- pressure ulcer (pressure area) (L89.-)
- fecal impaction (K56.4)
- urinary tract infection (N39.0)
- Use additional code to identify the cause, such as:
- G90.5 Complex regional pain syndrome I (CRPS I)
- Reflex sympathetic dystrophy
- Excludes1: causalgia of lower limb (G57.7-)
- causalgia of upper limb (G56.4-)
- complex regional pain syndrome II of lower limb (G57.7-)
- complex regional pain syndrome II of upper limb (G56.4-)
- G90.50 Complex regional pain syndrome I, unspecified
- G90.51 Complex regional pain syndrome I of upper limb
- G90.511 Complex regional pain syndrome I of right upper limb
- G90.512 Complex regional pain syndrome I of left upper limb
- G90.513 Complex regional pain syndrome I of upper limb, bilateral
- G90.519 Complex regional pain syndrome I of unspecified upper limb
- G90.52 Complex regional pain syndrome I of lower limb
- G90.521 Complex regional pain syndrome I of right lower limb
- G90.522 Complex regional pain syndrome I of left lower limb
- G90.523 Complex regional pain syndrome I of lower limb, bilateral
- G90.529 Complex regional pain syndrome I of unspecified lower limb
- G90.59 Complex regional pain syndrome I of other specified site
- G90.8 Other disorders of autonomic nervous system
- G90.9 Disorder of the autonomic nervous system, unspecified
G91 Hydrocephalus
[edit]- Includes acquired hydrocephalus
- Excludes1: Arnold-Chiari syndrome with hydrocephalus (Q07.-)
- congenital hydrocephalus (Q03.-)
- spina bifida with hydrocephalus (Q05.-)
- G91.0 Communicating hydrocephalus
- Secondary normal pressure hydrocephalus
- G91.1 Obstructive hydrocephalus
- G91.2 (Idiopathic) normal pressure hydrocephalus
- Normal pressure hydrocephalus NOS
- G91.3 Post-traumatic hydrocephalus, unspecified
- G91.4 Hydrocephalus in diseases classified elsewhere
- Code first underlying condition, such as:
- congenital syphilis (A50.4-)
- neoplasm (C00-D48)
- Excludes1: hydrocephalus due to congenital toxoplasmosis (P37.1)
- Code first underlying condition, such as:
- G91.8 Other hydrocephalus
- G91.9 Hydrocephalus, unspecified
G92 Toxic encephalopathy
[edit]- Toxic encephalitis
- Toxic metabolic encephalopathy
- Code first (T51-T65) to identify toxic agent.
G93 Other disorders of brain
[edit]- G93.0 Cerebral cysts
- Arachnoid cyst
- Porencephalic cyst, acquired
- Excludes1: acquired periventricular cysts of newborn (P91.1)
- congenital cerebral cysts (Q04.6)
- G93.1 Anoxic brain damage, not elsewhere classified
- Excludes1: cerebral anoxia due to anesthesia during labor and delivery (O74.3)
- cerebral anoxia due to anesthesia during the puerperium (O89.2)
- neonatal anoxia (P28.9)
- Excludes1: cerebral anoxia due to anesthesia during labor and delivery (O74.3)
- G93.2 Benign intracranial hypertension
- Excludes1: hypertensive encephalopathy (I67.4)
- G93.3 Postviral fatigue syndrome
- Benign myalgic encephalomyelitis
- Excludes1: chronic fatigue syndrome NOS (R53.82)
- G93.4 Other and unspecified encephalopathy
- Excludes1: alcoholic encephalopathy (G31.2)
- hypertensive encephalopathy (I67.4)
- toxic (metabolic) encephalopathy (G92)
- G93.40 Encephalopathy, unspecified
- G93.41 Metabolic encephalopathy
- Septic encephalopathy
- G93.49 Other encephalopathy
- Encephalopathy NEC
- Excludes1: alcoholic encephalopathy (G31.2)
- G93.5 Compression of brain
- Arnold-Chiari type 1 compression of brain
- Compression of brain (stem)
- Herniation of brain (stem)
- Excludes1: diffuse traumatic compression of brain (S06.2-)
- focal traumatic compression of brain (S06.3-)
- G93.6 Cerebral edema
- Excludes1: cerebral edema due to birth injury (P11.0)
- traumatic cerebral edema (S06.1-)
- Excludes1: cerebral edema due to birth injury (P11.0)
- G93.7 Reye's syndrome
- Code first (T39.0-), if salicylates-induced
- G93.8 Other specified disorders of brain
- G93.81 Temporal sclerosis
- Hippocampal sclerosis
- Mesial temporal sclerosis
- G93.89 Other specified disorders of brain
- Postradiation encephalopathy
- G93.81 Temporal sclerosis
- G93.9 Disorder of brain, unspecified
G94 Other disorders of brain in diseases classified elsewhere
[edit]- Code first underlying disease
- Excludes1: encephalopathy in congenital syphilis (A50.49)
- encephalopathy in influenza (J10.89)
- encephalopathy in syphilis (A52.19)
- hydrocephalus in diseases classified elsewhere (G91.4)
G95 Other and unspecified diseases of spinal cord
[edit]- Excludes2: myelitis (G04.-)
- G95.0 Syringomyelia and syringobulbia
- G95.1 Vascular myelopathies
- Excludes2: intraspinal phlebitis and thrombophlebitis, except non-pyogenic (G08)
- G95.11 Acute infarction of spinal cord (embolic) (nonembolic)
- Anoxia of spinal cord
- Arterial thrombosis of spinal cord
- G95.19 Other vascular myelopathies
- Edema of spinal cord
- Hematomyelia
- Nonpyogenic intraspinal phlebitis and thrombophlebitis
- Subacute necrotic myelopathy
- G95.2 Other and unspecified cord compression
- G95.20 Unspecified cord compression
- G95.29 Other cord compression
- G95.8 Other specified diseases of spinal cord
- Excludes1: neurogenic bladder NOS (N31.9)
- neurogenic bladder due to cauda equina syndrome (G83.4)
- neuromuscular dysfunction of bladder without spinal cord lesion (N31.-)
- G95.81 Conus medullaris syndrome
- G95.89 Other specified diseases of spinal cord
- Cord bladder NOS
- Drug-induced myelopathy
- Radiation-induced myelopathy
- Excludes1: myelopathy NOS (G95.9)
- Excludes1: neurogenic bladder NOS (N31.9)
- G95.9 Disease of spinal cord, unspecified
- Myelopathy NOS
G96 Other disorders of central nervous system
[edit]- G96.0 Cerebrospinal fluid leak
- Excludes1: cerebrospinal fluid leak from spinal puncture (G97.0)
- G96.1 Disorders of meninges, not elsewhere classified
- G96.11 Dural tear
- Excludes1: accidental puncture or laceration of dura during a procedure (G97.41)
- G96.12 Meningeal adhesions (cerebral) (spinal)
- G96.19 Other disorders of meninges, not elsewhere classified
- G96.11 Dural tear
- G96.8 Other specified disorders of central nervous system
- G96.9 Disorder of central nervous system, unspecified
G97 Intraoperative and postprocedural complications and disorders of nervous system, not elsewhere classified
[edit]- Excludes2: intraoperative and postprocedural cerebrovascular infarction (I97.81-, I97.82- )
- G97.0 Cerebrospinal fluid leak from spinal puncture
- G97.1 Other reaction to spinal and lumbar puncture
- Headache due to lumbar puncture
- G97.2 Intracranial hypotension following ventricular shunting
- G97.3 Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating a procedure
- Excludes1: intraoperative hemorrhage and hematoma of a nervous system organ or structure due to accidental puncture and laceration during a procedure (G97.4-)
- G97.31 Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating a nervous system procedure
- G97.32 Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating other procedure
- G97.4 Accidental puncture and laceration of a nervous system organ or structure during a procedure
- G97.41 Accidental puncture or laceration of dura during a procedure
- Incidental (inadvertent) durotomy
- G97.48 Accidental puncture and laceration of other nervous system organ or structure during a nervous system procedure
- G97. 49 Accidental puncture and laceration of other nervous system organ or structure during other procedure
- G97.41 Accidental puncture or laceration of dura during a procedure
- G97.5 Postprocedural hemorrhage and hematoma of a nervous system organ or structure following a procedure
- G97.51 Postprocedural hemorrhage and hematoma of a nervous system organ or structure following a nervous system procedure
- G97.52 Postprocedural hemorrhage and hematoma of a nervous system organ or structure following other procedure
- G97.8 Other intraoperative and postprocedural complications and disorders of nervous system
- Use additional code to further specify disorder
- G97.81 Other intraoperative complications of nervous system
- G97.82 Other postprocedural complications and disorders of nervous system
G98 Other disorders of nervous system not elsewhere classified
[edit]- Includes nervous system disorder NOS
- G98.0 Neurogenic arthritis, not elsewhere classified
- Nonsyphilitic neurogenic arthropathy NEC
- Nonsyphilitic neurogenic spondylopathy NEC
- Excludes1: spondylopathy (in):
- syringomyelia and syringobulbia (G95.0)
- tabes dorsalis (A52.11)
- G98.8 Other disorders of nervous system
- Nervous system disorder NOS
G99 Other disorders of nervous system in diseases classified elsewhere
[edit]- G99.0 Autonomic neuropathy in diseases classified elsewhere
- Code first underlying disease, such as:
- amyloidosis (E85.-)
- gout ( M1a-, M10.-)
- hyperthyroidism (E05.-)
- Excludes1: diabetic autonomic neuropathy (E09-14 with .43)
- Code first underlying disease, such as:
- G99.2 Myelopathy in diseases classified elsewhere
- Code first underlying disease, such as:
- neoplasm (C00-D48)
- Excludes1: myelopathy in:
- intervertebral disease (M50.0-, M51.0-)
- spondylosis (M47.0-, M47.1-)
- Code first underlying disease, such as:
- G99.8 Other specified disorders of nervous system in diseases classified elsewhere
- Code first underlying disorder, such as:
- amyloidosis (E85.-)
- avitaminosis (E56.9)
- Excludes1: nervous system involvement in:
- cysticercosis (B69.0)
- rubella (B06.0-)
- syphilis (A52.1-)
- Code first underlying disorder, such as: