Skip to content

FY2027 ICD-10-CM reference

A81.82: Gerstmann-Straussler-Scheinker syndrome

By the HCC Buddy Coding Team

The official ICD-10-CM descriptor is Gerstmann-Straussler-Scheinker syndrome. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.

Billable code. Verified against the official FY2027 order file.

CMS-HCC V28

  • HCC 127: Dementia, Mild or Unspecified · RAF 0.341, Community Non-Dual Aged (CNA)

Payment year 2027, 2026 dates of service. HCC from the CMS 2027 Initial ICD-10-CM Mappings; RAF from the CMS-HCC V28 relative factors. For 2027 dates of service, CMS has not yet published the payment year 2028 mappings.

CMS-HCC V24

Not used for payment year 2027 Medicare Advantage payment

ESRD

Source verification pending

PACE

Source verification pending

RxHCC

Source verification pending

HHS-HCC

Source verification pending

FY2027 Tabular instructions

Instructions below include applicable chapter, section and parent-code notes. Each note identifies where it appears in the official source.

Includes

diseases generally recognized as communicable or transmissible

Source: A00-B99 (chapter, inherited).

Instructional note

code to identify resistance to antimicrobial drugs (Z16.-)

Source: A00-B99 (chapter, inherited).

Excludes2

carrier or suspected carrier of infectious disease (Z22.-)

Source: A00-B99 (chapter, inherited).

Excludes2

certain localized infections - see body system-related chapters

Source: A00-B99 (chapter, inherited).

Excludes2

infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium (O98.-)

Source: A00-B99 (chapter, inherited).

Excludes2

infectious and parasitic diseases specific to the perinatal period (P35-P39)

Source: A00-B99 (chapter, inherited).

Excludes2

influenza and other acute respiratory infections (J00-J22)

Source: A00-B99 (chapter, inherited).

Excludes1

postpolio syndrome (G14)

Source: A80-A89 (section, inherited).

Excludes1

sequelae of poliomyelitis (B91)

Source: A80-A89 (section, inherited).

Excludes1

sequelae of viral encephalitis (B94.1)

Source: A80-A89 (section, inherited).

Includes

diseases of the central nervous system caused by prions

Source: A81 (category, inherited).

Instructional note

code, if applicable, to identify:

Source: A81 (category, inherited).

Instructional note

dementia with anxiety (F02.84, F02.A4, F02.B4, F02.C4)

Source: A81 (category, inherited).

Instructional note

dementia with behavioral disturbance (F02.81-, F02.A1-, F02.B1-, F02.C1-)

Source: A81 (category, inherited).

Instructional note

dementia with mood disturbance (F02.83, F02.A3, F02.B3, F02.C3)

Source: A81 (category, inherited).

Instructional note

dementia with psychotic disturbance (F02.82, F02.A2, F02.B2, F02.C2)

Source: A81 (category, inherited).

Instructional note

dementia without behavioral disturbance (F02.80, F02.A0, F02.B0, F02.C0)

Source: A81 (category, inherited).

Instructional note

mild neurocognitive disorder due to known physiological condition (F06.7-)

Source: A81 (category, inherited).

Instructional note

GSS syndrome

Source: A81.82 (self, direct).

Source: CMS FY2027 Tabular List and Alphabetic Index.

Open Tabular instructions and code details

Compare the FY2027 additions, removals and billable-status changes

What does A81.82 mean in FY2027?

The official ICD-10-CM descriptor is Gerstmann-Straussler-Scheinker syndrome. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.

Is A81.82 billable in FY2027?

The FY2027 order file marks A81.82 as billable. Check the complete Tabular instructions and documentation before assigning it.

Does A81.82 map to an HCC?

In the CMS 2027 Initial ICD-10-CM Mappings (payment year 2027, 2026 dates of service), A81.82 maps to CMS-HCC V28 HCC 127 (Dementia, Mild or Unspecified). For 2027 dates of service, CMS has not yet published the payment year 2028 mappings. ESRD, RxHCC, PACE and HHS-HCC mappings are still pending verification for FY2027.

Source: CMS FY2027 ICD-10-CM order file. Read the FY2027 Official Guidelines.

Review the FY2026 April edition