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G36 ICD-10-CM Code: Other acute disseminated demyelination

G36 is not a CMS-HCC payment code. MEAT criteria · RAF calculator · HCC Buddy coding tools

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

G36

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Other acute disseminated demyelination

Other acute disseminated demyelination

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
G3Demyelinating diseases of the central nervous system (G35-G37)
G36Other acute disseminated demyelination

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for G36 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for G36 in this effective period.

Related Child Codes

Official
G36.0Neuromyelitis optica [Devic]
G36.1Acute and subacute hemorrhagic leukoencephalitis [Hurst]
G36.8Other specified acute disseminated demyelination
G36.9Acute disseminated demyelination, unspecified

Includes

Official

ICD-10-CM does not list Includes notes for G36 in this effective period.

Excludes 1

Official
  • postinfectious encephalitis and encephalomyelitis NOS (G04.01)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for G36 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for G36 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for G36 in this effective period.

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 →

Code
G36
Description
Other acute disseminated demyelination
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
No
Payment year
2026

Coder workflow notes

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What This Code Means

G36 is the ICD-10-CM diagnosis code for other acute disseminated demyelination. G36 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).

Header codes like G36 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at G36's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for G36 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • postinfectious encephalitis and encephalomyelitis NOS (G04.01)

Child Codes

Code Hierarchy

G36Other acute disseminated demyelination
G36Other acute disseminated demyelination

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