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G21

G21Secondary parkinsonism

Non-billable headerICD-10-CM

G21 is a non-billable header ICD-10-CM code for secondary parkinsonism. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

  • Huntington's disease (G10)
  • neurocognitive disorder with Lewy bodies (G31.83)
  • Shy-Drager syndrome (G90.3)
  • syphilitic Parkinsonism (A52.19)

Other codes that can never be billed with G21

These codes carry an Excludes1 note pointing at G21. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading G21 alone.

  • G20.CParkinsonism, unspecified
  • G21.0Malignant neuroleptic syndrome
  • G21.11Neuroleptic induced parkinsonism

Risk adjustment

G21 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.

Code to one of these instead G21

7 child codes. Green means billable.

Questions about G21

Is G21 a billable ICD-10-CM code?
No. G21 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does G21 sit in the tabular list?
Diseases of the nervous system (G00-G99), in the block Extrapyramidal and movement disorders (G20-G26).
What cannot be coded together with G21?
G21 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.
ICD-10-CMFY2026-Apr· effective April 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.