G61.81: Chronic inflammatory demyelinating polyneuritis

Risk adjustment

G61.81 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

• HCC 193 Chronic Inflammatory Demyelinating Polyneuritis and Multifocal Motor Neuropathy1.692 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

G61.81 is named in 29 Medicare coverage policies: 25 listing it as supporting medical necessity, and 4 listing it as NOT covered. Which one applies depends on your Medicare contractor.

• A56034Billing and Coding: Nerve Blockade for Treatment of Chronic Pain and Neuropathynot covered
• A56731Billing and Coding: Nerve Blocks and Electrostimulation for Peripheral Neuropathynot covered
• A57589Billing and Coding: Nerve Blocks for Peripheral Neuropathynot covered
• A57663Billing and Coding: Nerve Blocks for Peripheral Neuropathynot covered