Is G92.8 a billable ICD-10-CM code?

Yes. G92.8 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does G92.8 sit in the tabular list?

Diseases of the nervous system (G00-G99), in the block Other disorders of the nervous system (G89-G99).

G92.8

G92.8 — Other toxic encephalopathy

Billable / specific codeICD-10-CM

G92.8 is a billable, specific ICD-10-CM code for other toxic encephalopathy. It is valid for submission on a claim.

Code first

The underlying condition must be sequenced before this code.

poisoning due to drug or toxin, if applicable, (T36-T65 with fifth or sixth character 1-4)

Use additional code

Add a secondary code to capture the detail described below.

code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

Inclusion terms

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

Toxic encephalitis
Toxic metabolic encephalopathy

Risk adjustment

G92.8 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.

Medicare coverage

G92.8 is named in 5 Medicare coverage policies — 5 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A56551Billing and Coding: Visual Fields Testing
A56612Billing and Coding: CT of the Head
A56799Billing and Coding: Visual Fields Testing
A57204Billing and Coding: MRI and CT Scans of the Head and Neck

How G92.8 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to G92.8.

Bromidism, bromism
Encephalitis›toxic NEC
Jamaican›neuropathy
Jamaican›paraplegic tropical ataxic-spastic syndrome
Leukoencephalopathy›heroin vapor
Meningoencephalitis›toxic NEC
Encephalopathy›due to›drugs
Encephalopathy›metabolic›drug induced
Encephalopathy›metabolic›toxic
Encephalopathy›toxic›metabolic

Related codes at this level

Codes that share G92. If G92.8 is not quite right, the correct code is usually one of these.

Questions about G92.8

Is G92.8 a billable ICD-10-CM code?: Yes. G92.8 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does G92.8 sit in the tabular list?: Diseases of the nervous system (G00-G99), in the block Other disorders of the nervous system (G89-G99).