G31.1
G31.1: Senile degeneration of brain, not elsewhere classified
Billable / specific codeICD-10-CM
G31.1 is a billable, specific ICD-10-CM code for senile degeneration of brain, not elsewhere classified. It is valid for submission on a claim.
Check G31.1 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Other codes that can never be billed with G31.1
Their own Excludes1 notes name this code, so the conflict is not listed above.
- G30Alzheimer's disease
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
G31.1 is named in 13 Medicare coverage policies: 11 listing it as supporting medical necessity, and 2 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
- A56562Billing and Coding: Health and Behavior Assessment/Interventionnot covered
- A53134Billing and Coding: NCD Coding Article for Positron Emission Tomography (PET) Scans Used for Non-Oncologic Conditions
- A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Alphabetic index entries that lead here
- Degeneration, degenerative›motor centers, senile
- Atrophy, atrophic›brain›senile NEC
- Degeneration, degenerative›brain›senile NEC
- Degeneration, degenerative›senile›brain
- Degeneration, degenerative›senile›motor centers
- Disease, diseased›brain›senile NEC
Code history
Unchanged in every release from FY2024 to FY2027.