G95.9: Disease of spinal cord, unspecified
G95.9 is a billable, specific ICD-10-CM code for disease of spinal cord, unspecified. It is valid for submission on a claim.
Check G95.9 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Myelopathy NOS
Other codes that can never be billed with G95.9
Their own Excludes1 notes name this code, so the conflict is not listed above.
- G95.89Other specified diseases of spinal cord
Risk adjustment
G95.9 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
G95.9 is named in 9 Medicare coverage policies: 9 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53065Billing and Coding: Outpatient Physical Therapy
- A56619Billing and Coding: Nerve Conduction Studies and Electromyography
- A56695Billing and Coding: Implantable Infusion Pump
- A56827Billing and Coding: Proton Beam Therapy
Alphabetic index entries that lead here
- Myelopathy(spinal cord)
- Disease, diseased›spinal(cord)
- Lesion›spinal cord
Code history
Unchanged in every release from FY2024 to FY2027.