Is ICD-10-CM code G95 billable?

No, G95 (Other and unspecified diseases of spinal cord) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code G95 belong to?

G95 belongs to Chapter 6 of the ICD-10-CM tabular list: G00–G99 (Diseases of the Nervous System).

G95Not billable, use a more specific code below

Other and unspecified diseases of spinal cord

In Other disorders of the nervous system (G89-G99), chapter 6: Diseases of the Nervous System

8 billable codes under G95: 2 are an MCC, 6 are a CC; all map to HCC 182 (Spinal Cord Disorders/Injuries).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.

Instructional notes

Excludes2: not included here, code separately if applicable

myelitis (G04.-)

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)

Read Section I.C.6 (page 45)

All codes under G95

G95 can't be used on a claim. Pick a billable code below; grey headings group them.

G95 MS-DRGs

As the principal diagnosis, the billable codes under G95 group to these 8 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

DRG 091 Other Disorders of Nervous System with MCC (7 of 8 codes)
DRG 092 Other Disorders of Nervous System with CC (7 of 8 codes)
DRG 093 Other Disorders of Nervous System without CC/MCC (7 of 8 codes)
DRG 974 HIV with Major Related Condition with MCC (3 of 8 codes)
DRG 975 HIV with Major Related Condition with CC (3 of 8 codes)
DRG 976 HIV with Major Related Condition without CC/MCC (3 of 8 codes)
DRG 056 Degenerative Nervous System Disorders with MCC (1 of 8 codes)
DRG 057 Degenerative Nervous System Disorders without MCC (1 of 8 codes)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Spinal Cord Diseases

Your spinal cord is a bundle of nerves that runs down the middle of your back. It carries signals back and forth between your body and your brain. It is protected by your vertebrae, which are the bone disks that make up your spine. If you have an accident that damages the vertebrae or other parts of the spine, this can also injure the spinal cord. Other spinal cord problems include:

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.