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.

Check G06.1 with the rest of the claim: free scrubber

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

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

Medicare coverage

G06.1 is named in 20 Medicare coverage policies: 20 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

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

Alphabetic index entries that lead here

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

Code history

Unchanged in every release from FY2024 to FY2027.