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G35.A ICD-10-CM Code: Relapsing-remitting multiple sclerosis

G35.A maps to CMS-HCC V28 198. A source-labeled RAF reference is available. Confirm the documented diagnosis and applicable coding requirements. MEAT criteria · RAF Calculator · HCC coding software

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Code lookupG35.A

FY 2026 Apr update / Diseases of the nervous system (G00-G99) / Demyelinating diseases of the central nervous system (G35-G37)

G35.A

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

Relapsing-remitting multiple sclerosis

Relapsing-remitting multiple sclerosis is the most common form of MS, characterized by periods of new or worsening symptoms (relapses) followed by periods of partial or complete recovery (remissions).

CMS-HCC V28

HCC 198

Code-level coefficient reference

CMS-HCC V24

Historical

Historical

Not used for CY2026 payment

ACA/HHS

HCC 118

Code-level coefficient reference

ESRD/PACE

HCC 77

Code-level coefficient reference

RXHCC

HCC 159

Code-level coefficient reference

Inclusion Terms

Official

No inclusion terms are included in this display for G35.A. 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
  • certain infectious and parasitic diseases (A00-B99)Inherited from G00-G99
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)Inherited from G00-G99
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)Inherited from G00-G99
  • endocrine, nutritional and metabolic diseases (E00-E88)Inherited from G00-G99
  • injury, poisoning and certain other consequences of external causes (S00-T88)Inherited from G00-G99
  • neoplasms (C00-D49)Inherited from G00-G99
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)Inherited from G00-G99

Includes

Official

No Includes notes are included in this display for G35.A. Check the code and parent instructions in the Code Book.

Excludes 1

Official
  • demyelinating disease of central nervous system, unspecified (G37.9)

Code First

Official

No Code First sequencing instructions are included in this display for G35.A. Check the code and parent instructions in the Code Book.

Use Additional

Official

No Use Additional Code instructions are included in this display for G35.A. Check the code and parent instructions in the Code Book.

Code Also

Official

No Code Also instructions are included in this display for G35.A. Check the code and parent instructions in the Code Book.

Buddy Documentation Tip

HCC Buddy guidance
This is the most common MS subtype; ensure documentation specifies relapsing-remitting rather than other MS types
Code any acute relapses or exacerbations with additional codes for neurological manifestations (vision loss, weakness, etc.)

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 G35.A an HCC code?

Yes. G35.A (Relapsing-remitting multiple sclerosis) maps to HCC 198, Multiple Sclerosis under the CMS-HCC V28 risk adjustment model, with a source-labeled community non-dual aged reference coefficient of 0.647. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes. It is billable for payment year 2026.

Coder answer: G35.A is billable and maps to V28 HCC 198, Multiple Sclerosis. Open it in the Code Book for the tabular path, RAF, and MEAT checklist.

Code
G35.A
Description
Relapsing-remitting multiple sclerosis
HCC (V28)
HCC 198 — Multiple Sclerosis
RAF reference coefficient
0.647
Billable
Yes
Payment year
2026

HCC Category Mapping

V28HCC 198, Multiple Sclerosis
0.647
ESRDHCC 77, Multiple Sclerosis
Not separately weighted
RxHCCHCC 159, Multiple Sclerosis
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 G35.A in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →

MEAT review for G35.A

For G35.A, 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

G35.A is the ICD-10-CM diagnosis code for relapsing-remitting multiple sclerosis. Relapsing-remitting multiple sclerosis is the most common form of MS, characterized by periods of new or worsening symptoms (relapses) followed by periods of partial or complete recovery (remissions). G35.A sits in the ICD-10-CM chapter for diseases of the nervous system (g00-g99), within the section covering demyelinating diseases of the central nervous system (g35-g37).

Under the CMS-HCC V28 risk adjustment model, G35.A maps to Multiple Sclerosis (HCC 198) with a source-labeled community, non-dual, aged reference coefficient of 0.647. No V24 mapping is shown for G35.A; use the applicable model and payment year when reviewing the V28 mapping. For CY2026 non-PACE Medicare Advantage, CMS uses 100% of the 2024 CMS-HCC model (V28). PACE uses a separate model blend. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes.

This is the most common MS subtype; ensure documentation specifies relapsing-remitting rather than other MS types. For G35.A, 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. When documentation is ambiguous, coders should issue a provider query rather than assume the highest-specificity variant.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for G35.A sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • This is the most common MS subtype; ensure documentation specifies relapsing-remitting rather than other MS types
  • Code any acute relapses or exacerbations with additional codes for neurological manifestations (vision loss, weakness, etc.)

Excludes 1, Do NOT code together

  • demyelinating disease of central nervous system, unspecified (G37.9)

Child Codes

Code Hierarchy

G35.A 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.

For G35.A, 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.

G35.A maps to CMS-HCC V28 category 198, Multiple Sclerosis. See the ICD-10 to HCC mapping hub for how the V28 crosswalk works. The mapping identifies a payment HCC category for G35.A. Review its source-labeled HCC coefficient above, check the RAF Calculator with complete member context for CMS-HCC V28 PY2026, and confirm the documentation the chart needs before the code is submitted. HCC Buddy shows no RAF score unless every required source and calculation check passes.

Work G35.A in HCC Buddy

Open G35.A in the Code Book for the full Index-to-Tabular path, MEAT checklist, and V28 HCC mapping, or in the Encoder to code from a keyword search. Pro includes 7 days to try everything, no card required.