G95.0 — Syringomyelia and syringobulbia
G95.0 is a billable, specific ICD-10-CM code for syringomyelia and syringobulbia. It is valid for submission on a claim.
Other codes that can never be billed with G95.0
These codes carry an Excludes1 note pointing at G95.0. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading G95.0 alone.
Risk adjustment
G95.0 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 182 Spinal Cord Disorders/Injuries0.478 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.
Medicare coverage
G95.0 is named in 22 Medicare coverage policies — 22 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A54095Billing and Coding: Nerve Conduction Studies and Electromyography
How G95.0 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 G95.0.
- Syringobulbia
- Syringomyelia
- Syringopontia
- Arthropathy›syringomyelic
- Arthritis, arthritic›Charcot's›syringomyelic
- Arthritis, arthritic›due to or associated with›syringomyelia
- Arthritis, arthritic›in›syringomyelia
- Arthritis, arthritic›neuropathic›syringomyelic
- Arthropathy›Charcot's›syringomyelic
- Arthropathy›neuropathic›syringomyelic
- Charcot's›joint›syringomyelic
- Spondylopathy›neuropathic, in›syringomyelia and syringobulbia
Code history
G95.0 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share G95. If G95.0 is not quite right, the correct code is usually one of these.
Questions about G95.0
- Is G95.0 a billable ICD-10-CM code?
- Yes. G95.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does G95.0 sit in the tabular list?
- Diseases of the nervous system (G00-G99), in the block Other disorders of the nervous system (G89-G99).