Intracranial and intraspinal abscess and granuloma
In Inflammatory diseases of the central nervous system (G00-G09), chapter 6: Diseases of the Nervous System
3 billable codes under G06: all are an MCC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.
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Instructional notes
Use additional code: add a second code for this, listed after this one
- code (B95-B97) to identify infectious agent.
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Covers default dominant or nondominant side for hemiplegia and monoplegia, and use and sequencing of G89 pain codes, including postoperative, chronic, and neoplasm-related pain.
- Dominant/nondominant side (page 45)
- Pain - Category G89 (page 45)
All codes under G06
G06 can't be used on a claim. Pick a billable code below; grey headings group them.
G06 MS-DRGs
As the principal diagnosis, all 3 billable codes under G06 group to these 7 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 023 Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis with MCC or Antineoplastic Implant or Epilepsy with Neurostimulator
- DRG 024 Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis without MCC
- DRG 094 Bacterial and Tuberculous Infections of Nervous System with MCC
- DRG 095 Bacterial and Tuberculous Infections of Nervous System with CC
- DRG 096 Bacterial and Tuberculous Infections of Nervous System without CC/MCC
- DRG 791 Prematurity with Major Problems
- DRG 793 Full Term Neonate with Major Problems
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Abscess
An abscess is a pocket of pus. You can get an abscess almost anywhere in your body. When an area of your body becomes infected, your body's immune system tries to fight the infection. White blood cells go to the infected area, collect within the damaged tissue, and cause inflammation. During this process, pus forms. Pus is a mixture of living and dead white blood cells, germs, and dead tissue.
Read more about abscess on MedlinePlusBrain Diseases
Your brain is the control center of your body. It controls your thoughts, memory, speech, and movement. It regulates the function of many organs. It's part of your nervous system, which also includes your spinal cord and peripheral nerves. The nervous system sends signals between your brain and the rest of the body. Your nerves take in information from your senses and send it to the brain to be processed. Your brain and nerves also communicate to help you move and to control your body's functions.
Read more about brain diseases on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.