Is G06.1 a billable ICD-10-CM code?

Yes. G06.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does G06.1 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 G06.1?

G06.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

G06.1

G06.1 — Intraspinal abscess and granuloma

Billable / specific codeICD-10-CM

G06.1 is a billable, specific ICD-10-CM code for intraspinal 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 intraspinal abscess and granuloma (A17.81)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Abscess (embolic) of spinal cord [any part]
Intraspinal epidural abscess or granuloma
Intraspinal extradural abscess or granuloma
Intraspinal subdural abscess or granuloma

Risk adjustment

G06.1 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

G06.1 is named in 20 Medicare coverage policies — 20 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)
A56396Billing and Coding: Lumbar Spinal Fusion
A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
A56722Billing and Coding: Intraoperative Neurophysiological Testing

How G06.1 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 G06.1.

Abscess›intraspinal
Abscess›spinal cord(any part) (staphylococcal)
Granuloma›intraspinal(any part)
Abscess›epidural›spinal cord
Abscess›extradural›spinal cord
Abscess›spine›epidural
Abscess›subarachnoid›spinal cord
Abscess›subdural›spinal cord
Embolism›spinal cord›pyogenic origin
Infection, infected, infective›spinal cord NOS›abscess
Thrombosis, thrombotic›spinal cord›pyogenic origin

Related codes at this level

Codes that share G06. If G06.1 is not quite right, the correct code is usually one of these.

Questions about G06.1

Is G06.1 a billable ICD-10-CM code?: Yes. G06.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does G06.1 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 G06.1?: G06.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.