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G04.9

G04.9: Encephalitis, myelitis and encephalomyelitis, unspecified

Non-billable headerICD-10-CM

G04.9 is a non-billable header ICD-10-CM code for encephalitis, myelitis and encephalomyelitis, unspecified. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 inherited from the categories above G04.9

A category’s note binds every code beneath it.

Written on G04: Encephalitis, myelitis and encephalomyelitis

Excludes2 inherited from the categories above G04.9

Not part of this code, but both may be coded when both are present.

Written on G04: Encephalitis, myelitis and encephalomyelitis

  • acute transverse myelitis (G37.3)
  • alcoholic encephalopathy (G31.2)
  • multiple sclerosis (G35-)
  • myalgic encephalomyelitis (G93.32)
  • subacute necrotizing myelitis (G37.4)
  • toxic encephalitis (G92.8)
  • toxic encephalopathy (G92.8)

Other codes that can never be billed with G04.9

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • G03Meningitis due to other and unspecified causes

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead G04.9

2 child codes. Green means billable.

Other codes under G04

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.