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G32.0

G32.0Subacute combined degeneration of spinal cord in diseases classified elsewhere

Billable / specific codeICD-10-CM

G32.0 is a billable, specific ICD-10-CM code for subacute combined degeneration of spinal cord in diseases classified elsewhere. 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.

  • syphilitic combined degeneration of spinal cord (A52.11)

Code first

The underlying condition must be sequenced before this code.

  • underlying disease, such as:
  • other dietary vitamin B12 deficiency anemia (D51.3)
  • vitamin B12 deficiency anemia due to intrinsic factor deficiency (D51.0)
  • vitamin B12 deficiency anemia, unspecified (D51.8)
  • vitamin B12 deficiency (E53.8)

Inclusion terms

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

  • Dana-Putnam syndrome
  • Sclerosis of spinal cord (combined) (dorsolateral) (posterolateral)

Risk adjustment

G32.0 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

  • HCC 182 Spinal Cord Disorders/Injuries0.478 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.

Medicare coverage

G32.0 is named in 14 Medicare coverage policies 14 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

  • A53057Billing and Coding: Home Health Occupational Therapy
  • A53064Billing and Coding: Outpatient Occupational Therapy
  • A53065Billing and Coding: Outpatient Physical Therapy
  • A54095Billing and Coding: Nerve Conduction Studies and Electromyography

Related codes at this level

Codes that share G32. If G32.0 is not quite right, the correct code is usually one of these.

Questions about G32.0

Is G32.0 a billable ICD-10-CM code?
Yes. G32.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does G32.0 sit in the tabular list?
Diseases of the nervous system (G00-G99), in the block Other degenerative diseases of the nervous system (G30-G32).
What cannot be coded together with G32.0?
G32.0 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.