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A85 ICD-10-CM Code: Other viral encephalitis, not elsewhere classified

ICD-10-CM Code View

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FY 2026 Apr update / Certain infectious and parasitic diseases (A00-B99) / Viral and prion infections of the central nervous system (A80-A89)

A85

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Other viral encephalitis, not elsewhere classified

Other viral encephalitis, not elsewhere classified

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
A8Viral and prion infections of the central nervous system (A80-A89)
A85Other viral encephalitis, not elsewhere classified

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for A85 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for A85 in this effective period.

Related Child Codes

Official
A85.0Enteroviral encephalitis
A85.1Adenoviral encephalitis
A85.2Arthropod-borne viral encephalitis, unspecified
A85.8Other specified viral encephalitis

Includes

Official
  • specified viral encephalomyelitis NEC
  • specified viral meningoencephalitis NEC

Excludes 1

Official
  • encephalitis due to cytomegalovirus (B25.8)
  • encephalitis due to herpesvirus NEC (B10.0-)
  • encephalitis due to herpesvirus [herpes simplex] (B00.4)
  • encephalitis due to measles virus (B05.0)
  • encephalitis due to mumps virus (B26.2)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for A85 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for A85 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for A85 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Coder workflow notes

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What This Code Means

A85 is the ICD-10-CM diagnosis code for other viral encephalitis, not elsewhere classified. A85 sits in the ICD-10-CM chapter for certain infectious and parasitic diseases (a00-b99), within the section covering viral and prion infections of the central nervous system (a80-a89).

Header codes like A85 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at A85's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for A85 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Includes

  • specified viral encephalomyelitis NEC
  • specified viral meningoencephalitis NEC

Excludes 1, Do NOT code together

  • encephalitis due to cytomegalovirus (B25.8)
  • encephalitis due to herpesvirus NEC (B10.0-)
  • encephalitis due to herpesvirus [herpes simplex] (B00.4)
  • encephalitis due to measles virus (B05.0)
  • encephalitis due to mumps virus (B26.2)
  • encephalitis due to poliomyelitis virus (A80.-)
  • encephalitis due to zoster (B02.0)
  • lymphocytic choriomeningitis (A87.2)
  • myalgic encephalomyelitis (G93.32)

Child Codes

Code Hierarchy

A85Other viral encephalitis, not elsewhere classified
A85Other viral encephalitis, not elsewhere classified

Work A85 in HCC Buddy

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