G04.2
G04.2: Bacterial meningoencephalitis and meningomyelitis, not elsewhere classified
Billable / specific codeICD-10-CM
G04.2 is a billable, specific ICD-10-CM code for bacterial meningoencephalitis and meningomyelitis, not elsewhere classified. It is valid for submission on a claim.
Check G04.2 with the rest of the claim: free scrubberExcludes1 inherited from the categories above G04.2
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above G04.2
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with G04.2
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
G04.2 is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56551Billing and Coding: Visual Fields Testing
- A56799Billing and Coding: Visual Fields Testing
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
- A57206Billing and Coding: Lumbar MRI
Alphabetic index entries that lead here
- Meningoencephalitis›bacterial NEC
- Meningoencephalitis›pneumococcal
- Meningoencephalitis›staphylococcal
- Meningoencephalitis›streptococcal
- Meningomyelitis›bacterial NEC
Code history
Unchanged in every release from FY2024 to FY2027.