G95.11 — Acute infarction of spinal cord (embolic) (nonembolic)
G95.11 is a billable, specific ICD-10-CM code for acute infarction of spinal cord (embolic) (nonembolic). It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Anoxia of spinal cord
- Arterial thrombosis of spinal cord
Risk adjustment
G95.11 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
G95.11 is named in 17 Medicare coverage policies — 17 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 G95.11 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 G95.11.
- Anoxia›spinal cord
- Infarct, infarction›spinal(cord) (acute) (embolic) (nonembolic)
- Ischemia, ischemic›spinal cord
- Thrombosis, thrombotic›spinal cord(arterial)
- Thrombosis, thrombotic›artery, arteries›spinal, anterior or posterior
Related codes at this level
Codes that share G95.1. If G95.11 is not quite right, the correct code is usually one of these.
Questions about G95.11
- Is G95.11 a billable ICD-10-CM code?
- Yes. G95.11 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does G95.11 sit in the tabular list?
- Diseases of the nervous system (G00-G99), in the block Other disorders of the nervous system (G89-G99).