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G04.8 ICD-10-CM Code: Other encephalitis, myelitis and encephalomyelitis

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FY 2026 Apr update / Diseases of the nervous system (G00-G99) / Inflammatory diseases of the central nervous system (G00-G09)

G04.8

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

Other encephalitis, myelitis and encephalomyelitis

Other encephalitis, myelitis and encephalomyelitis

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

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Code Book Path

Official
G04Encephalitis, myelitis and encephalomyelitis
G04.8Other encephalitis, myelitis and encephalomyelitis

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for G04.8 in this effective period.

Excludes 2

Official
  • acute transverse myelitis (G37.3)
  • alcoholic encephalopathy (G31.2)
  • multiple sclerosis (G35-)
  • myalgic encephalomyelitis (G93.32)
  • subacute necrotizing myelitis (G37.4)

Related Child Codes

Official
G04.81Other encephalitis and encephalomyelitis
G04.82Acute flaccid myelitis
G04.89Other myelitis

Includes

Official
  • acute ascending myelitis
  • meningoencephalitis
  • meningomyelitis

Excludes 1

Official
  • encephalopathy NOS (G93.40)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for G04.8 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for G04.8 in this effective period.

Code Also

Official
  • any associated seizure (G40.-, R56.9)

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.

What This Code Means

G04.8 is the ICD-10-CM diagnosis code for other encephalitis, myelitis and encephalomyelitis. G04.8 sits in the ICD-10-CM chapter for diseases of the nervous system (g00-g99), within the section covering inflammatory diseases of the central nervous system (g00-g09).

Header codes like G04.8 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 G04.8'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 G04.8 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Code Also

Child Codes

Code Hierarchy

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