Other disorders of brain
In Other disorders of the nervous system (G89-G99), chapter 6: Diseases of the Nervous System
20 billable codes under G93: 5 are an MCC, 7 are a CC; 8 map to HCC 200 (Friedreich and Other Hereditary Ataxias; Huntington Disease), HCC 202 (Coma, Brain Compression/Anoxic Damage), HCC 127 (Dementia, Mild or Unspecified) and 1 more HCCs.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment. An HCC counts toward a Medicare Advantage patient's risk score.
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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 G93
G93 can't be used on a claim. Pick a billable code below; grey headings group them.
- G93.0Cerebral cysts
- G93.1Anoxic brain damage, not elsewhere classified
- G93.2Benign intracranial hypertension
- G93.3Postviral and related fatigue syndromes
- G93.31Postviral fatigue syndrome
- G93.32Myalgic encephalomyelitis/chronic fatigue syndrome
- G93.39Other post infection and related fatigue syndromes
- G93.4Other and unspecified encephalopathy
- G93.40Encephalopathy, unspecified
- G93.41Metabolic encephalopathy
- G93.42Megalencephalic leukoencephalopathy with subcortical cysts
- G93.43Leukoencephalopathy with calcifications and cysts
- G93.44Adult-onset leukodystrophy with axonal spheroids
- G93.45Developmental and epileptic encephalopathy
- G93.49Other encephalopathy
- G93.5Compression of brain
- G93.6Cerebral edema
- G93.7Reye's syndrome
- G93.8Other specified disorders of brain
- G93.81Temporal sclerosis
- G93.82Brain death
- G93.89Other specified disorders of brain
- G93.9Disorder of brain, unspecified
G93 MS-DRGs
As the principal diagnosis, the billable codes under G93 group to these 17 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 070 Other Cerebrovascular Disorders with MCC (10 of 20 codes)
- DRG 071 Other Cerebrovascular Disorders with CC (10 of 20 codes)
- DRG 072 Other Cerebrovascular Disorders without CC/MCC (10 of 20 codes)
- DRG 974 HIV with Major Related Condition with MCC (8 of 20 codes)
- DRG 975 HIV with Major Related Condition with CC (8 of 20 codes)
- DRG 976 HIV with Major Related Condition without CC/MCC (8 of 20 codes)
- DRG 080 Nontraumatic Stupor and Coma with MCC (3 of 20 codes)
- DRG 081 Nontraumatic Stupor and Coma without MCC (3 of 20 codes)
- DRG 091 Other Disorders of Nervous System with MCC (3 of 20 codes)
- DRG 092 Other Disorders of Nervous System with CC (3 of 20 codes)
- DRG 093 Other Disorders of Nervous System without CC/MCC (3 of 20 codes)
- DRG 947 Signs and Symptoms with MCC (3 of 20 codes)
- DRG 948 Signs and Symptoms without MCC (3 of 20 codes)
- DRG 102 Headaches with MCC (1 of 20 codes)
- DRG 103 Headaches without MCC (1 of 20 codes)
- DRG 791 Prematurity with Major Problems (1 of 20 codes)
- DRG 793 Full Term Neonate with Major Problems (1 of 20 codes)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Brain 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.
