Is G95.1 a billable ICD-10-CM code?

No. G95.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does G95.1 sit in the tabular list?

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

G95.1

G95.1 — Vascular myelopathies

Non-billable headerICD-10-CM

G95.1 is a non-billable header ICD-10-CM code for vascular myelopathies. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes2 — not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

intraspinal phlebitis and thrombophlebitis, except non-pyogenic (G08)

Excludes2 inherited from the categories above G95.1

Also inherited, and the opposite of Excludes1: these conditions are not part of G95.1, but a patient can have both, so you may code both.

Written on G95 — Other and unspecified diseases of spinal cord

myelitis (G04.-)

Risk adjustment

G95.1 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

G95.1 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 G95.1

2 child codes. Green means billable.

Related codes at this level

Codes that share G95. If G95.1 is not quite right, the correct code is usually one of these.

Questions about G95.1

Is G95.1 a billable ICD-10-CM code?: No. G95.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does G95.1 sit in the tabular list?: Diseases of the nervous system (G00-G99), in the block Other disorders of the nervous system (G89-G99).