G31.87 ICD-10-CM Code: Primary progressive apraxia of speech
G31.87 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC coding software
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) / Other degenerative diseases of the nervous system (G30-G32)
G31.87
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidancePrimary progressive apraxia of speech
Primary progressive apraxia of speech is a neurodegenerative condition where a person gradually loses the ability to plan and execute the movements needed for speech, despite understanding language.
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
HistoricalHistorical
Not used for CY2026 payment
ACA/HHS
N/A—
Not mapped
ESRD/PACE
MappedHCC 52
Code-level coefficient reference
RXHCC
MappedHCC 112
Code-level coefficient reference
Code Book Path
Inclusion Terms
OfficialNo inclusion terms are included in this display for G31.87. Check the code and parent instructions in the Code Book.
Excludes 2
Official- certain conditions originating in the perinatal period (P04-P96)Inherited from G00-G99, G31
- certain infectious and parasitic diseases (A00-B99)Inherited from G00-G99, G31
- complications of pregnancy, childbirth and the puerperium (O00-O9A)Inherited from G00-G99, G31
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)Inherited from G00-G99, G31
- endocrine, nutritional and metabolic diseases (E00-E88)Inherited from G00-G99, G31
- injury, poisoning and certain other consequences of external causes (S00-T88)Inherited from G00-G99, G31
- neoplasms (C00-D49)Inherited from G00-G99, G31
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)Inherited from G00-G99, G31
- Reye's syndrome (G93.7)Inherited from G00-G99, G31
Related Codes
Includes
OfficialNo Includes notes are included in this display for G31.87. Check the code and parent instructions in the Code Book.
Excludes 1
OfficialNo Excludes 1 notes are included in this display for G31.87. Check the code and parent instructions in the Code Book.
Code First
OfficialNo Code First sequencing instructions are included in this display for G31.87. Check the code and parent instructions in the Code Book.
Use Additional
Official- code, if applicable, for codes G31.0-G31.83, G31.85-G31.9, to identify:Inherited from G31
- dementia with anxiety (F02.84, F02.A4, F02.B4, F02.C4)Inherited from G31
- dementia with behavioral disturbance (F02.81-, F02.A1-, F02.B1-, F02.C1-)Inherited from G31
- dementia with mood disturbance (F02.83, F02.A3, F02.B3, F02.C3)Inherited from G31
- dementia with psychotic disturbance (F02.82, F02.A2, F02.B2, F02.C2)Inherited from G31
- dementia without behavioral disturbance (F02.80, F02.A0, F02.B0, F02.C0)Inherited from G31
- mild neurocognitive disorder due to known physiological condition (F06.7-)Inherited from G31
Code Also
OfficialNo Code Also instructions are included in this display for G31.87. Check the code and parent instructions in the Code Book.
Buddy Documentation Tip
Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →
Is G31.87 an HCC code?
G31.87 has no mapping under the current CMS-HCC V28 community payment model. G31.87 has a separate mapping under the CMS-HCC ESRD model (HCC 52 (Dementia Without Complication)) and the Part D RxHCC model (HCC 112 (Dementia, Except Alzheimer's Disease)); the applicable result needs member context.
- Code
- G31.87
- Description
- Primary progressive apraxia of speech
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF reference coefficient
- —
- Billable
- Yes
- Payment year
- 2026
HCC Category Mapping
These are source-labeled model coefficients, not member totals. A category may still be removed by hierarchy or model cleanup rules. Weights are not directly comparable across models: CMS-HCC V28 and V24 use Community, Non-Dual, Aged; ESRD uses the dialysis continuing-enrollee model; RxHCC is the Part D continuing-enrollee, non-low-income, aged weight (a larger scale than CMS-HCC). ACA/HHS has no single weight — it varies by metal level. Actual per-patient RAF contribution depends on member context, hierarchy and cleanup rules, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains available for historical review.
Work G31.87 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →
MEAT review for G31.87
For G31.87, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule.
- MMonitor: signs, symptoms, disease progression, or lab trending documented in the note
- EEvaluate: test results, medication response, or physical findings reviewed by the provider
- AAssess: explicit mention in the assessment or plan with acknowledgment of status
- TTreat: medication, referral, procedure, therapy, or counseling tied to the diagnosis
Coder workflow notes
Get the V28 mapping + MEAT cheat sheet
One printable reference: check representative V28 mappings and the documentation reminders your note needs. Free, no card.
Free PDF. No card. Unsubscribe anytime.
What This Code Means
G31.87 is the ICD-10-CM diagnosis code for primary progressive apraxia of speech. Primary progressive apraxia of speech is a neurodegenerative condition where a person gradually loses the ability to plan and execute the movements needed for speech, despite understanding language. G31.87 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).
G31.87 has no mapping under the current CMS-HCC V28 community payment model. G31.87 has a separate mapping under the CMS-HCC ESRD model (HCC 52 (Dementia Without Complication)) and the Part D RxHCC model (HCC 112 (Dementia, Except Alzheimer's Disease)); the applicable result needs member context. Do not assign V28 risk adjustment value from this page; verify the applicable model and payment year before using this code for risk adjustment.
Distinguish from other speech disorders; this is specifically a motor planning disorder that worsens over time.
HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for G31.87 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Distinguish from other speech disorders; this is specifically a motor planning disorder that worsens over time
- •Document the progressive nature and any associated cognitive or language changes for complete clinical picture

