G95.20: Unspecified cord compression

Risk adjustment

G95.20 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

G95.20 is named in 13 Medicare coverage policies: 13 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

• A53064Billing and Coding: Outpatient Occupational Therapy
• A53065Billing and Coding: Outpatient Physical Therapy
• A54095Billing and Coding: Nerve Conduction Studies and Electromyography
• A56619Billing and Coding: Nerve Conduction Studies and Electromyography