G06.1 ICD-10-CM Code: Intraspinal abscess and granuloma
HCC Buddy Code Card
Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.
FY 2026 Apr update / Diseases of the nervous system (G00-G99) / Inflammatory diseases of the central nervous system (G00-G09)
G06.1
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceIntraspinal abscess and granuloma
An intraspinal abscess and granuloma is a collection of pus or inflammatory tissue within the spinal canal that can cause pain, weakness, or numbness in the back and limbs. This condition requires prompt medical attention as it can potentially damage the spinal cord if left untreated.
CMS-HCC V28
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
Code Trumping
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Code Book Path
Inclusion Terms
Official- Abscess (embolic) of spinal cord [any part]
- Intraspinal epidural abscess or granuloma
- Intraspinal extradural abscess or granuloma
- Intraspinal subdural abscess or granuloma
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for G06.1 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for G06.1 in this effective period.
Excludes 1
Official- tuberculous intraspinal abscess and granuloma (A17.81)
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for G06.1 in this effective period.
Use Additional
Official- code (B95-B97) to identify infectious agent.
Code Also
OfficialICD-10-CM does not list Code Also instructions for G06.1 in this effective period.
Buddy Documentation Tip
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.
Is G06.1 an HCC code?
No. G06.1 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
G06.1 is the ICD-10-CM diagnosis code for intraspinal abscess and granuloma. An intraspinal abscess and granuloma is a collection of pus or inflammatory tissue within the spinal canal that can cause pain, weakness, or numbness in the back and limbs. This condition requires prompt medical attention as it can potentially damage the spinal cord if left untreated. G06.1 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).
G06.1 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
Verify the specific location of the abscess or granuloma (cervical, thoracic, lumbar, or sacral spine) as this may require additional specificity codes or documentation.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for G06.1 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Verify the specific location of the abscess or granuloma (cervical, thoracic, lumbar, or sacral spine) as this may require additional specificity codes or documentation
- •Distinguish between intraspinal abscess (typically infectious) and granuloma (often inflammatory or infectious like tuberculosis) as the underlying cause affects treatment and may require additional diagnosis codes
Excludes 1, Do NOT code together
- tuberculous intraspinal abscess and granuloma (A17.81)