G06.0 — Intracranial abscess and granuloma
G06.0 is a billable, specific ICD-10-CM code for intracranial abscess and granuloma. It is valid for submission on a claim.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- tuberculous intracranial abscess and granuloma (A17.81)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- 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)
Risk adjustment
G06.0 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
G06.0 is named in 9 Medicare coverage policies — 9 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52868Billing and Coding: Transesophageal Echocardiography (TEE)
- A56551Billing and Coding: Visual Fields Testing
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56781Billing and Coding: Transthoracic Echocardiography (TTE)
How G06.0 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to G06.0.
- Abscess›brain(any part) (cystic) (otogenic)
- Abscess›cerebellum, cerebellar
- Abscess›cerebral(embolic)
- Abscess›cranium
- Abscess›intracranial
- Abscess›otogenic
- Abscess›temporosphenoidal
- Granuloma›brain(any site)
- Granuloma›cerebral(any site)
- Granuloma›intracranial(any site)
- Suppuration, suppurative›brain
- Suppuration, suppurative›intracranial
Related codes at this level
Codes that share G06. If G06.0 is not quite right, the correct code is usually one of these.
Questions about G06.0
- Is G06.0 a billable ICD-10-CM code?
- Yes. G06.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does G06.0 sit in the tabular list?
- Diseases of the nervous system (G00-G99), in the block Inflammatory diseases of the central nervous system (G00-G09).
- What cannot be coded together with G06.0?
- G06.0 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.