G93.49

G93.49: Other encephalopathy

Billable / specific codeICD-10-CM

G93.49 is a billable, specific ICD-10-CM code for other encephalopathy. It is valid for submission on a claim.

Check G93.49 with the rest of the claim: free scrubber

Inclusion terms

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

Encephalopathy NEC

Excludes2 inherited from the categories above G93.49

Not part of this code, but both may be coded when both are present.

Written on G93.4: Other and unspecified encephalopathy

alcoholic encephalopathy (G31.2)
encephalopathy in diseases classified elsewhere (G94)
hypertensive encephalopathy (I67.4)
toxic (metabolic) encephalopathy (G92.8)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

G93.49 is named in 11 Medicare coverage policies: 11 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56551Billing and Coding: Visual Fields Testing
A56612Billing and Coding: CT of the Head
A56767Billing and Coding: Heavy Metal Testing
A56786Billing and Coding: Immune Globulin

Alphabetic index entries that lead here

Leukoencephalopathy
Encephalopathy›specified NEC
Syndrome›Susac

Code history

Unchanged in every release from FY2024 to FY2027.