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G32.81

G32.81: Cerebellar ataxia in diseases classified elsewhere

Billable / specific codeICD-10-CM

G32.81 is a billable, specific ICD-10-CM code for cerebellar ataxia in diseases classified elsewhere. It is valid for submission on a claim.

Check G32.81 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.

  • systemic atrophy primarily affecting the central nervous system in alcoholic cerebellar ataxia (G31.2)
  • systemic atrophy primarily affecting the central nervous system in myxedema (G13.2)

Code first

The underlying condition must be sequenced before this code.

  • underlying disease, such as:
  • celiac disease (with gluten ataxia) (K90.0)
  • cerebellar ataxia (in) neoplastic disease (paraneoplastic cerebellar degeneration) (C00-D49)
  • non-celiac gluten ataxia (M35.9)

Excludes1 inherited from the categories above G32.81

A category’s note binds every code beneath it.

Written on G32.8: Other specified degenerative disorders of nervous system in diseases classified elsewhere

  • superior hemorrhagic polioencephalitis [Wernicke's encephalopathy] (E51.2)

Risk adjustment

G32.81 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. Look up the whole chart to see which of its HCCs the hierarchy would zero.

Medicare coverage

G32.81 is named in 12 Medicare coverage policies: 12 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A53057Billing and Coding: Home Health Occupational Therapy
  • A53064Billing and Coding: Outpatient Occupational Therapy
  • A53065Billing and Coding: Outpatient Physical Therapy
  • A54969Billing and Coding: Nerve Conduction Studies and Electromyography

Alphabetic index entries that lead here

  • Ataxia, ataxy, ataxic›cerebellar›in›specified disease NEC

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under G32.8

ICD-10-CMFY2027· effective October 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.