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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

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Code lookupG31.87

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 guidance

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.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

Historical

Historical

Not used for CY2026 payment

ACA/HHS

N/A

Not mapped

ESRD/PACE

HCC 52

Code-level coefficient reference

RXHCC

HCC 112

Code-level coefficient reference

Inclusion Terms

Official

No 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

Includes

Official

No Includes notes are included in this display for G31.87. Check the code and parent instructions in the Code Book.

Excludes 1

Official

No Excludes 1 notes are included in this display for G31.87. Check the code and parent instructions in the Code Book.

Code First

Official

No 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

Official

No Code Also instructions are included in this display for G31.87. Check the code and parent instructions in the Code Book.

Buddy Documentation Tip

HCC Buddy guidance
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

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

ESRDHCC 52, Dementia Without Complication
Not separately weighted
RxHCCHCC 112, Dementia, Except Alzheimer's Disease
Not separately weighted

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

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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

Child Codes

Code Hierarchy

G31.87 code history

Code setChange
FY2026 (effective Oct 1, 2025)Added to the code set

Source: official CMS ICD-10-CM order and addenda files, FY2016 through FY2027.

Also searched as

  • G31 87
  • G3187

More on G31.87

Code family

Every G31 code with its CMS-HCC V28 statusOther degenerative diseases of nervous system, not elsewhere classified, 14 billable codes

Related condition guides

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