Is G81.0 a billable ICD-10-CM code?

No. G81.0 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does G81.0 sit in the tabular list?

Diseases of the nervous system (G00-G99), in the block Cerebral palsy and other paralytic syndromes (G80-G83).

What cannot be coded together with G81.0?

G81.0 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above G81.0 (G81) and apply to it just the same.

G81.0

G81.0 — Flaccid hemiplegia

Non-billable headerICD-10-CM

G81.0 is a non-billable header ICD-10-CM code for flaccid hemiplegia. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 inherited from the categories above G81.0

These are not written on G81.0, but they bind it: a note on a category applies to every code beneath it. Billing G81.0 with anything listed here is a denial.

Written on G81 — Hemiplegia and hemiparesis

congenital cerebral palsy (G80.-)
hemiplegia and hemiparesis due to sequela of cerebrovascular disease (I69.05-, I69.15-, I69.25-, I69.35-, I69.85-, I69.95-)

Risk adjustment

G81.0 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code history

G81.0 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Code to one of these instead G81.0

5 child codes. Green means billable.

Related codes at this level

Codes that share G81. If G81.0 is not quite right, the correct code is usually one of these.

Questions about G81.0

Is G81.0 a billable ICD-10-CM code?: No. G81.0 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does G81.0 sit in the tabular list?: Diseases of the nervous system (G00-G99), in the block Cerebral palsy and other paralytic syndromes (G80-G83).
What cannot be coded together with G81.0?: G81.0 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above G81.0 (G81) and apply to it just the same.