2019 ICD-10-CM Diagnosis Code G04.81

Other encephalitis and encephalomyelitis

    2016 2017 2018 2019 Billable/Specific Code
  • G04.81 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2019 edition of ICD-10-CM G04.81 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of G04.81 - other international versions of ICD-10 G04.81 may differ.
Applicable To
  • Noninfectious acute disseminated encephalomyelitis (noninfectious ADEM)
The following code(s) above G04.81 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to G04.81:
  • G00-G99
    2019 ICD-10-CM Range G00-G99

    Diseases of the nervous system

    Type 2 Excludes
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
    Diseases of the nervous system
  • G04
    ICD-10-CM Diagnosis Code G04

    Encephalitis, myelitis and encephalomyelitis

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Includes
    • acute ascending myelitis
    • meningoencephalitis
    • meningomyelitis
    Type 1 Excludes
    Type 2 Excludes
    • acute transverse myelitis (G37.3-)
    • alcoholic encephalopathy (G31.2)
    • benign myalgic encephalomyelitis (G93.3)
    • multiple sclerosis (G35)
    • subacute necrotizing myelitis (G37.4)
    • toxic encephalitis (G92)
    • toxic encephalopathy (G92)
    Encephalitis, myelitis and encephalomyelitis
  • G04.8
    ICD-10-CM Diagnosis Code G04.8

    Other encephalitis, myelitis and encephalomyelitis

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Code Also
    Other encephalitis, myelitis and encephalomyelitis
Approximate Synonyms
  • Bickerstaff encephalitis, brainstem
  • Bickerstaff's brainstem encephalitis
  • Encephalitis, limbic
  • Encephalitis, paraneoplastic
  • Encephalomyelitis, paraneoplastic
  • Limbic encephalitis
  • Paraneoplastic encephalitis
  • Paraneoplastic encephalomyelitis
ICD-10-CM G04.81 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):
  • 023 Craniotomy with major device implant or acute complex cns pdx with mcc or chemotherapy implant or epilepsy with neurostimulator
  • 024 Craniotomy with major device implant or acute complex cns pdx without mcc
  • 097 Non-bacterial infection of nervous system except viral meningitis with mcc
  • 098 Non-bacterial infection of nervous system except viral meningitis with cc
  • 099 Non-bacterial infection of nervous system except viral meningitis without cc/mcc
  • 974 Hiv with major related condition with mcc
  • 975 Hiv with major related condition with cc
  • 976 Hiv with major related condition without cc/mcc

Convert G04.81 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
Code annotations containing back-references to G04.81:
  • Type 1 Excludes: G04.0
    ICD-10-CM Diagnosis Code G04.0

    Acute disseminated encephalitis and encephalomyelitis (ADEM)

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • acute necrotizing hemorrhagic encephalopathy (G04.3-)
    • other noninfectious acute disseminated encephalomyelitis (noninfectious ADEM) (G04.81)

Diagnosis Index entries containing back-references to G04.81:
  • Encephalitis (chronic) (hemorrhagic) (idiopathic) (nonepidemic) (spurious) (subacute) G04.90
    ICD-10-CM Diagnosis Code G04.90

    Encephalitis and encephalomyelitis, unspecified

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Ventriculitis (cerebral) NOS
    • acute A86
      - see also Encephalitis, viral
      ICD-10-CM Diagnosis Code A86

      Unspecified viral encephalitis

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Viral encephalomyelitis NOS
      • Viral meningoencephalitis NOS
      • disseminated G04.00
        ICD-10-CM Diagnosis Code G04.00

        Acute disseminated encephalitis and encephalomyelitis, unspecified

          2016 2017 2018 2019 Billable/Specific Code
        • noninfectious G04.81
    • Rasmussen G04.81
    • specified NEC G04.81
    • suppurative G04.81
  • Encephalomyelitis G04.90
    - see also Encephalitis
    ICD-10-CM Diagnosis Code G04.90

    Encephalitis and encephalomyelitis, unspecified

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Ventriculitis (cerebral) NOS
    • acute disseminated G04.00
      ICD-10-CM Diagnosis Code G04.00

      Acute disseminated encephalitis and encephalomyelitis, unspecified

        2016 2017 2018 2019 Billable/Specific Code
      • noninfectious G04.81
    • specified NEC G04.81
  • Leukoencephalitis G04.81
  • Meningoencephalitis G04.90
    - see also Encephalitis
    ICD-10-CM Diagnosis Code G04.90

    Encephalitis and encephalomyelitis, unspecified

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Ventriculitis (cerebral) NOS
    • specified organism NEC G04.81
  • Rasmussen encephalitis G04.81
  • Syndrome - see also Disease
    • Rasmussen G04.81

ICD-10-CM Codes Adjacent To G04.81
G04.01 Postinfectious acute disseminated encephalitis and encephalomyelitis (postinfectious ADEM)
G04.02 Postimmunization acute disseminated encephalitis, myelitis and encephalomyelitis
G04.1 Tropical spastic paraplegia
G04.2 Bacterial meningoencephalitis and meningomyelitis, not elsewhere classified
G04.3 Acute necrotizing hemorrhagic encephalopathy
G04.30 …… unspecified
G04.31 Postinfectious acute necrotizing hemorrhagic encephalopathy
G04.32 Postimmunization acute necrotizing hemorrhagic encephalopathy
G04.39 Other acute necrotizing hemorrhagic encephalopathy
G04.8 Other encephalitis, myelitis and encephalomyelitis
G04.81 Other encephalitis and encephalomyelitis
G04.89 Other myelitis
G04.9 Encephalitis, myelitis and encephalomyelitis, unspecified
G04.90 Encephalitis and encephalomyelitis, unspecified
G04.91 Myelitis, unspecified
G05 Encephalitis, myelitis and encephalomyelitis in diseases classified elsewhere
G05.3 Encephalitis and encephalomyelitis in diseases classified elsewhere
G05.4 Myelitis in diseases classified elsewhere
G06 Intracranial and intraspinal abscess and granuloma
G06.0 Intracranial abscess and granuloma
G06.1 Intraspinal abscess and granuloma

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.