G93.7

G93.7: Reye's syndrome

Billable / specific codeICD-10-CM

G93.7 is a billable, specific ICD-10-CM code for reye's syndrome. It is valid for submission on a claim.

Check G93.7 with the rest of the claim: free scrubber

Code first

The underlying condition must be sequenced before this code.

poisoning due to salicylates, if applicable (T39.0-, with sixth character 1-4)

Use additional code

Add a secondary code to capture the detail described below.

code for adverse effect due to salicylates, if applicable (T39.0-, with sixth character 5)

Other codes that can never be billed with G93.7

Their own Excludes1 notes name this code, so the conflict is not listed above.

E88.4Mitochondrial metabolism disorders
G71.3Mitochondrial myopathy, not elsewhere classified

Risk adjustment

G93.7 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 127 Dementia, Mild or Unspecified0.341 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

G93.7 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
A57204Billing and Coding: MRI and CT Scans of the Head and Neck