2023 ICD-10-CM Diagnosis Code G32.81

Cerebellar ataxia in diseases classified elsewhere

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Manifestation Code
  • G32.81 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2023 edition of ICD-10-CM G32.81 became effective on October 1, 2022.
  • This is the American ICD-10-CM version of G32.81 - other international versions of ICD-10 G32.81 may differ.
ICD-10-CM Coding Rules
  • G32.81 describes the manifestation of an underlying disease, not the disease itself.
Code First
Code First Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • underlying disease, such as:
  • celiac disease (with gluten ataxia) (
    ICD-10-CM Diagnosis Code K90.0

    Celiac disease

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Applicable To
    • Celiac disease with steatorrhea
    • Celiac gluten-sensitive enteropathy
    • Nontropical sprue
    Code Also
    • exocrine pancreatic insufficiency (K86.81)
    Use Additional
    • code for associated disorders including:
    • dermatitis herpetiformis (L13.0)
    • gluten ataxia (G32.81)
    K90.0
    )
  • cerebellar ataxia (in) neoplastic disease (paraneoplastic cerebellar degeneration) (C00-D49
    ICD-10-CM Range C00-D49

    Neoplasms

    • C00-C14 Malignant neoplasms of lip, oral cavity ...
    • C15-C26 Malignant neoplasms of digestive organs
    • C30-C39 Malignant neoplasms of respiratory and i...
    • C40-C41 Malignant neoplasms of bone and articula...
    • C43-C44 Melanoma and other malignant neoplasms o...
    • C45-C49 Malignant neoplasms of mesothelial and s...
    • C50-C50 Malignant neoplasms of breast
    • C51-C58 Malignant neoplasms of female genital or...
    • C60-C63 Malignant neoplasms of male genital orga...
    • C64-C68 Malignant neoplasms of urinary tract
    • C69-C72 Malignant neoplasms of eye, brain and ot...
    • C73-C75 Malignant neoplasms of thyroid and other...
    • C76-C80 Malignant neoplasms of ill-defined, othe...
    • C7A-C7A Malignant neuroendocrine tumors
    • C7B-C7B Secondary neuroendocrine tumors
    • C81-C96 Malignant neoplasms of lymphoid, hematop...
    • D00-D09 In situ neoplasms
    • D10-D36 Benign neoplasms, except benign neuroend...
    • D37-D48 Neoplasms of uncertain behavior, polycyt...
    • D3A-D3A Benign neuroendocrine tumors
    • D49-D49 Neoplasms of unspecified behavior
    )
  • non-celiac gluten ataxia (
    ICD-10-CM Diagnosis Code M35.9

    Systemic involvement of connective tissue, unspecified

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Applicable To
    • Autoimmune disease (systemic) NOS
    • Collagen (vascular) disease NOS
    M35.9
    )
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as G32.81. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • systemic atrophy primarily affecting the central nervous system in alcoholic cerebellar ataxia (
    ICD-10-CM Diagnosis Code G31.2

    Degeneration of nervous system due to alcohol

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Applicable To
    • Alcoholic cerebellar ataxia
    • Alcoholic cerebellar degeneration
    • Alcoholic cerebral degeneration
    • Alcoholic encephalopathy
    • Dysfunction of the autonomic nervous system due to alcohol
    Code Also
    • associated alcoholism (F10.-)
    G31.2
    )
  • systemic atrophy primarily affecting the central nervous system in myxedema (
    ICD-10-CM Diagnosis Code G13.2

    Systemic atrophy primarily affecting the central nervous system in myxedema

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Manifestation Code
    Code First
    • underlying disease, such as:
    • hypothyroidism (E03.-)
    • myxedematous congenital iodine deficiency (E00.1)
    G13.2
    )
The following code(s) above G32.81 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 G32.81:
  • G00-G99
    2023 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
  • G32.8
    ICD-10-CM Diagnosis Code G32.8

    Other specified degenerative disorders of nervous system in diseases classified elsewhere

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Code First
    • underlying disease, such as:
    • amyloidosis cerebral degeneration (E85.-)
    • cerebral degeneration (due to) hypothyroidism (E00.0-E03.9)
    • cerebral degeneration (due to) neoplasm (C00-D49)
    • cerebral degeneration (due to) vitamin B deficiency, except thiamine (E52-E53.-)
    Type 1 Excludes
    • superior hemorrhagic polioencephalitis [Wernicke's encephalopathy] (E51.2)
    Other specified degenerative disorders of nervous system in diseases classified elsewhere
Approximate Synonyms
  • Cerebellar ataxia associated with another disorder
  • Secondary cerebellar ataxia
ICD-10-CM G32.81 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):
  • 058 Multiple sclerosis and cerebellar ataxia with mcc
  • 059 Multiple sclerosis and cerebellar ataxia with cc
  • 060 Multiple sclerosis and cerebellar ataxia without cc/mcc

Convert G32.81 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
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change
Code annotations containing back-references to G32.81:
  • Use Additional: K90.0
    ICD-10-CM Diagnosis Code K90.0

    Celiac disease

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Applicable To
    • Celiac disease with steatorrhea
    • Celiac gluten-sensitive enteropathy
    • Nontropical sprue
    Code Also
    • exocrine pancreatic insufficiency (K86.81)
    Use Additional
    • code for associated disorders including:
    • dermatitis herpetiformis (L13.0)
    • gluten ataxia (G32.81)

Diagnosis Index entries containing back-references to G32.81:
  • Ataxia, ataxy, ataxic R27.0
    ICD-10-CM Diagnosis Code R27.0

    Ataxia, unspecified

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Type 1 Excludes
    • ataxia following cerebrovascular disease (I69. with final characters -93)
    • cerebellar (hereditary) G11.9
      ICD-10-CM Diagnosis Code G11.9

      Hereditary ataxia, unspecified

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
      Applicable To
      • Hereditary cerebellar ataxia NOS
      • Hereditary cerebellar degeneration
      • Hereditary cerebellar disease
      • Hereditary cerebellar syndrome
      • in
        • specified disease NEC G32.81

ICD-10-CM Codes Adjacent To G32.81
G31.81 Alpers disease
G31.82 Leigh's disease
G31.83 Neurocognitive disorder with Lewy bodies
G31.84 Mild cognitive impairment of uncertain or unknown etiology
G31.85 Corticobasal degeneration
G31.89 Other specified degenerative diseases of nervous system
G31.9 Degenerative disease of nervous system, unspecified
G32 Other degenerative disorders of nervous system in diseases classified elsewhere
G32.0 Subacute combined degeneration of spinal cord in diseases classified elsewhere
G32.8 Other specified degenerative disorders of nervous system in diseases classified elsewhere
G32.81 Cerebellar ataxia in diseases classified elsewhere
G32.89 Other specified degenerative disorders of nervous system in diseases classified elsewhere
G35 Multiple sclerosis
G36 Other acute disseminated demyelination
G36.0 Neuromyelitis optica [Devic]
G36.1 Acute and subacute hemorrhagic leukoencephalitis [Hurst]
G36.8 Other specified acute disseminated demyelination
G36.9 Acute disseminated demyelination, unspecified
G37 Other demyelinating diseases of central nervous system
G37.0 Diffuse sclerosis of central nervous system
G37.1 Central demyelination of corpus callosum

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