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FY2027 ICD-10-CM reference

G05: Encephalitis, myelitis and encephalomyelitis in diseases classified elsewhere

By the HCC Buddy Coding Team

The official ICD-10-CM descriptor is Encephalitis, myelitis and encephalomyelitis in diseases classified elsewhere. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.

Nonbillable heading. Verified against the official FY2027 order file.

CMS-HCC V28

Not applicable to this nonbillable heading

CMS-HCC V24

Not applicable to this nonbillable heading

ESRD

Not applicable to this nonbillable heading

PACE

Not applicable to this nonbillable heading

RxHCC

Not applicable to this nonbillable heading

HHS-HCC

Not applicable to this nonbillable heading

More specific FY2027 codes

FY2027 Tabular instructions

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

Excludes2

certain conditions originating in the perinatal period (P04-P96)

Source: G00-G99 (chapter, inherited).

Excludes2

certain infectious and parasitic diseases (A00-B99)

Source: G00-G99 (chapter, inherited).

Excludes2

complications of pregnancy, childbirth and the puerperium (O00-O9A)

Source: G00-G99 (chapter, inherited).

Excludes2

congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)

Source: G00-G99 (chapter, inherited).

Excludes2

endocrine, nutritional and metabolic diseases (E00-E88)

Source: G00-G99 (chapter, inherited).

Excludes2

injury, poisoning and certain other consequences of external causes (S00-T88)

Source: G00-G99 (chapter, inherited).

Excludes2

neoplasms (C00-D49)

Source: G00-G99 (chapter, inherited).

Excludes2

symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Source: G00-G99 (chapter, inherited).

Code first

underlying disease, such as:

Source: G05 (category, direct).

Code first

congenital toxoplasmosis encephalitis, myelitis and encephalomyelitis (P37.1)

Source: G05 (category, direct).

Code first

cytomegaloviral encephalitis, myelitis and encephalomyelitis (B25.8)

Source: G05 (category, direct).

Code first

encephalitis, myelitis and encephalomyelitis (in) systemic lupus erythematosus (M32.19)

Source: G05 (category, direct).

Code first

eosinophilic meningoencephalitis (B83.2)

Source: G05 (category, direct).

Code first

human immunodeficiency virus [HIV] disease (B20)

Source: G05 (category, direct).

Code first

poliovirus (A80.-)

Source: G05 (category, direct).

Code first

suppurative otitis media (H66.01-H66.4)

Source: G05 (category, direct).

Code first

systemic lupus erythematosus (M32.19)

Source: G05 (category, direct).

Code first

trichinellosis (B75)

Source: G05 (category, direct).

Excludes1

adenoviral encephalitis, myelitis and encephalomyelitis (A85.1)

Source: G05 (category, direct).

Excludes1

encephalitis, myelitis and encephalomyelitis (in) measles (B05.0)

Source: G05 (category, direct).

Excludes1

enteroviral encephalitis, myelitis and encephalomyelitis (A85.0)

Source: G05 (category, direct).

Excludes1

herpesviral [herpes simplex] encephalitis, myelitis and encephalomyelitis (B00.4)

Source: G05 (category, direct).

Excludes1

listerial encephalitis, myelitis and encephalomyelitis (A32.12)

Source: G05 (category, direct).

Excludes1

meningococcal encephalitis, myelitis and encephalomyelitis (A39.81)

Source: G05 (category, direct).

Excludes1

mumps encephalitis, myelitis and encephalomyelitis (B26.2)

Source: G05 (category, direct).

Excludes1

postchickenpox encephalitis, myelitis and encephalomyelitis (B01.1-)

Source: G05 (category, direct).

Excludes1

rubella encephalitis, myelitis and encephalomyelitis (B06.01)

Source: G05 (category, direct).

Excludes1

toxoplasmosis encephalitis, myelitis and encephalomyelitis (B58.2)

Source: G05 (category, direct).

Excludes1

zoster encephalitis, myelitis and encephalomyelitis (B02.0)

Source: G05 (category, 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 G05 mean in FY2027?

The official ICD-10-CM descriptor is Encephalitis, myelitis and encephalomyelitis in diseases classified elsewhere. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.

Is G05 billable in FY2027?

The FY2027 order file marks G05 as a nonbillable heading. Select a complete billable child code.

Does G05 map to an HCC?

Risk-model mapping is not applicable to this nonbillable heading. Check a complete billable child code.

Source: CMS FY2027 ICD-10-CM order file. Payment model: CMS CY 2027 Rate Announcement. Read the FY2027 Official Guidelines.

Review the FY2026 April edition