G95.11
G95.11: Acute infarction of spinal cord (embolic) (nonembolic)
Billable / specific codeICD-10-CM
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.
Check G95.11 with the rest of the claim: free scrubberInclusion 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. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
G95.11 is named in 17 Medicare coverage policies: 17 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- 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
Alphabetic index entries that lead here
- 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
Code history
Unchanged in every release from FY2024 to FY2027.