B94.1
B94.1: Sequelae of viral encephalitis
Billable / specific codeICD-10-CMPOA exempt
B94.1 is a billable, specific ICD-10-CM code for sequelae of viral encephalitis. It is valid for submission on a claim.
Check B94.1 with the rest of the claim: free scrubberRisk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
B94.1 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56612Billing and Coding: CT of the Head
- A56771Billing and Coding: Special Electroencephalography
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
Alphabetic index entries that lead here
- Sequelae›encephalitis or encephalomyelitis›viral
- Sequelae›viral›encephalitis
Code history
Unchanged in every release from FY2024 to FY2027.