G35.A
G35.A: Relapsing-remitting multiple sclerosis
Billable / specific codeICD-10-CM
G35.A is a billable, specific ICD-10-CM code for relapsing-remitting multiple sclerosis. It is valid for submission on a claim.
Check G35.A 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.
- demyelinating disease of central nervous system, unspecified (G37.9)
Risk adjustment
G35.A risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 198 Multiple Sclerosis0.647 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
G35.A is named in 66 Medicare coverage policies: 65 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A56845Billing and Coding: Venous Angioplasty with or without Stent Placement for the Treatment of Chronic Cerebrospinal Venous Insufficiencynot covered
- A52465Knee Orthoses - Policy Article
- A52494High Frequency Chest Wall Oscillation Devices - Policy Article
- A52510Mechanical In-exsufflation Devices - Policy Article
Alphabetic index entries that lead here
- Sclerosis, sclerotic›multiple›relapsing-remitting
The condition this code belongs to
Code history
- addedFY2024-FY2027
Relapsing-remitting multiple sclerosis