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G31.84 ICD-10-CM Code: Mild cognitive impairment of uncertain or unknown etiology

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FY 2026 Apr update / Diseases of the nervous system (G00-G99) / Other degenerative diseases of the nervous system (G30-G32)

G31.84

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Mild cognitive impairment of uncertain or unknown etiology

Mild cognitive impairment with no clear identified cause; a condition where thinking and memory problems are noticeable but not severe enough to interfere significantly with daily life.

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

Code Trumping

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Code Book Path

Official
G31Other degenerative diseases of nervous system, not elsewhere classified
G31.8Other specified degenerative diseases of nervous system
G31.84Mild cognitive impairment of uncertain or unknown etiology

Inclusion Terms

Official
  • Mild cognitive disorder NOS
  • Mild neurocognitive disorder of uncertain or unknown etiology

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for G31.84 in this effective period.

Related Child Codes

Official
G31.80Leukodystrophy, unspecified
G31.81Alpers disease
G31.82Leigh's disease
G31.83Neurocognitive disorder with Lewy bodies
G31.85Corticobasal degeneration

Includes

Official

ICD-10-CM does not list Includes notes for G31.84 in this effective period.

Excludes 1

Official
  • age related cognitive decline (R41.81)
  • altered mental status (R41.82)
  • cerebral degeneration (G31.9)
  • cerebrovascular diseases (I60-I69)
  • change in mental status (R41.82)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for G31.84 in this effective period.

Use Additional

Official
  • code to identify presence of:
  • alcohol abuse and dependence (F10.-)
  • exposure to environmental tobacco smoke (Z77.22)
  • history of tobacco dependence (Z87.891)
  • hypertension (I10-I1A)

Code Also

Official

ICD-10-CM does not list Code Also instructions for G31.84 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
This code is used when cognitive decline is documented but the underlying cause is uncertain or unknown
Distinguish between mild cognitive impairment and normal age-related memory changes; document baseline cognitive function

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 G31.84 an HCC code?

No. G31.84 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Coder workflow notes

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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

G31.84 is the ICD-10-CM diagnosis code for mild cognitive impairment of uncertain or unknown etiology. Mild cognitive impairment with no clear identified cause; a condition where thinking and memory problems are noticeable but not severe enough to interfere significantly with daily life. G31.84 sits in the ICD-10-CM chapter for diseases of the nervous system (g00-g99), within the section covering other degenerative diseases of the nervous system (g30-g32).

G31.84 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.

This code is used when cognitive decline is documented but the underlying cause is uncertain or unknown.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for G31.84 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • This code is used when cognitive decline is documented but the underlying cause is uncertain or unknown
  • Distinguish between mild cognitive impairment and normal age-related memory changes; document baseline cognitive function

Excludes 1, Do NOT code together

  • age related cognitive decline (R41.81)
  • altered mental status (R41.82)
  • cerebral degeneration (G31.9)
  • cerebrovascular diseases (I60-I69)
  • change in mental status (R41.82)
  • cognitive deficits following (sequelae of) cerebral hemorrhage or infarction (I69.01-, I69.11-, I69.21-, I69.31-, I69.81-, I69.91-)
  • cognitive impairment due to intracranial or head injury (S06.-)
  • dementia (F01.-, F02.-, F03.-)
  • mild neurocognitive disorder due to a known physiological condition (F06.7-)
  • neurologic neglect syndrome (R41.4)
  • personality change, nonpsychotic (F68.8)

Use Additional Code

  • code to identify presence of:
  • alcohol abuse and dependence (F10.-)
  • exposure to environmental tobacco smoke (Z77.22)
  • history of tobacco dependence (Z87.891)
  • hypertension (I10-I1A)
  • occupational exposure to environmental tobacco smoke (Z57.31)
  • tobacco dependence (F17.-)
  • tobacco use (Z72.0)

Child Codes

Code Hierarchy

More on G31.84

Related condition guides

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