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G62.1 ICD-10-CM Code: Alcoholic polyneuropathy

G62.1 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC Buddy coding tools

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Code lookupG62.1

FY 2026 Apr update / Diseases of the nervous system (G00-G99) / Polyneuropathies and other disorders of the peripheral nervous system (G60-G65)

G62.1

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

Alcoholic polyneuropathy

Nerve damage affecting multiple nerves caused by chronic alcohol consumption, leading to weakness and numbness typically in the legs and feet.

Buddy the Bee presenting code insight

Buddy Insight

Alcoholic polyneuropathy is a direct complication of chronic alcohol use disorder, reflecting nerve damage from prolonged toxic alcohol exposure and nutritional deficiencies.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

Historical

Historical

Not used for CY2026 payment

ACA/HHS

HCC 115

Code-level coefficient reference

ESRD/PACE

HCC 75

Code-level coefficient reference

RXHCC

HCC 158

Code-level coefficient reference

Inclusion Terms

Official

No inclusion terms are included in this display for G62.1. 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 G62.1. Check the code and parent instructions in the Code Book.

Excludes 1

Official
  • neuralgia NOS (M79.2)Inherited from G60-G65
  • neuritis NOS (M79.2)Inherited from G60-G65
  • peripheral neuritis in pregnancy (O26.82-)Inherited from G60-G65
  • radiculitis NOS (M54.10)Inherited from G60-G65

Code First

Official

No Code First sequencing instructions are included in this display for G62.1. Check the code and parent instructions in the Code Book.

Use Additional

Official

No Use Additional Code instructions are included in this display for G62.1. Check the code and parent instructions in the Code Book.

Code Also

Official

No Code Also instructions are included in this display for G62.1. Check the code and parent instructions in the Code Book.

Buddy Documentation Tip

HCC Buddy guidance
Documented history of chronic alcohol use or alcohol use disorder
Clinical presentation: symmetric sensory-motor polyneuropathy, typically distal-predominant
Nerve conduction studies or electromyography findings supporting polyneuropathy diagnosis
Link between alcohol use and the neuropathy explicitly stated by provider

MEAT Support

HCC Buddy guidance
Documented history of chronic alcohol use or alcohol use disorder
Clinical presentation: symmetric sensory-motor polyneuropathy, typically distal-predominant
Nerve conduction studies or electromyography findings supporting polyneuropathy diagnosis
Link between alcohol use and the neuropathy explicitly stated by provider

Audit Caution

HCC Buddy guidance
Failing to also code the underlying alcohol use disorder (F10.x series) which provides important clinical context
Coding as unspecified polyneuropathy when the provider documents alcohol as the causative factor
Not querying the provider when a patient has both diabetes and chronic alcohol use to determine the primary cause of neuropathy
Assuming all neuropathy in an alcoholic patient is alcoholic neuropathy — other causes should be ruled out first

Common Mistakes

HCC Buddy guidance
G62.0 — Drug-induced polyneuropathy is for prescription medication-caused neuropathy, not alcohol
G62.2 — Polyneuropathy due to other toxic agents is for non-alcohol toxic exposures
E11.42 — Diabetic polyneuropathy may coexist with alcoholic neuropathy; both should be coded if present
G62.9 — Polyneuropathy, unspecified should not be used when alcohol etiology is documented

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 G62.1 an HCC code?

G62.1 is not in the CMS-HCC V28 or V24 community payment model. G62.1 has a separate mapping under the CMS-HCC ESRD model (HCC 75 (Myasthenia Gravis/Myoneural Disorders and Guillain-Barre Syndrome/Inflammatory and Toxic Neuropathy)) and the Part D RxHCC model (HCC 158 (Inflammatory and Toxic Neuropathy)); the applicable result needs member context. G62.1 also appears in the HHS-HCC commercial risk model (HCC 115 (HHS-HCC 115 adult, RAF varies by metal level)), which is a commercial market model rather than a Medicare Advantage payment mapping.

Code
G62.1
Description
Alcoholic polyneuropathy
HCC (V28)
No CMS-HCC V28 mapping
RAF reference coefficient
Billable
Yes
Payment year
2026

HCC Category Mapping

ESRDHCC 75, Myasthenia Gravis/Myoneural Disorders and Guillain-Barre Syndrome/Inflammatory and Toxic Neuropathy
Not separately weighted
RxHCCHCC 158, Inflammatory and Toxic Neuropathy
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 G62.1 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →

MEAT review for G62.1

For G62.1, 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

G62.1 is the ICD-10-CM diagnosis code for alcoholic polyneuropathy. Nerve damage affecting multiple nerves caused by chronic alcohol consumption, leading to weakness and numbness typically in the legs and feet. G62.1 sits in the ICD-10-CM chapter for diseases of the nervous system (g00-g99), within the section covering polyneuropathies and other disorders of the peripheral nervous system (g60-g65).

G62.1 has no mapping under the CMS-HCC V28 or V24 community payment models. G62.1 has a separate mapping under the CMS-HCC ESRD model (HCC 75 (Myasthenia Gravis/Myoneural Disorders and Guillain-Barre Syndrome/Inflammatory and Toxic Neuropathy)) and the Part D RxHCC model (HCC 158 (Inflammatory and Toxic Neuropathy)); the applicable result needs member context. G62.1 also appears in the HHS-HCC commercial risk model (HCC 115 (HHS-HCC 115 adult, RAF varies by metal level)), which is a commercial market model rather than a Medicare Advantage payment mapping. Do not assign V28 risk adjustment value from this page; verify the applicable model and payment year before using this code for risk adjustment.

Link this diagnosis to alcohol use disorder codes (F10.x) for complete clinical documentation.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for G62.1 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Link this diagnosis to alcohol use disorder codes (F10.x) for complete clinical documentation
  • Document the patient's alcohol consumption history and duration in the medical record

Clinical Significance

Alcoholic polyneuropathy is a direct complication of chronic alcohol use disorder, reflecting nerve damage from prolonged toxic alcohol exposure and nutritional deficiencies. It indicates a patient with dual complexity — both a substance use disorder and significant neurological impairment. Accurate capture is important for reflecting the true care burden and coordinating addiction treatment with neurological management.

Documentation Requirements

  • Documented history of chronic alcohol use or alcohol use disorder
  • Clinical presentation: symmetric sensory-motor polyneuropathy, typically distal-predominant
  • Nerve conduction studies or electromyography findings supporting polyneuropathy diagnosis
  • Link between alcohol use and the neuropathy explicitly stated by provider
  • Associated alcohol use disorder code (F10.x) documented
  • Nutritional status assessment including thiamine/B-vitamin levels when available

Commonly Confused Codes

  • G62.0: Drug-induced polyneuropathy is for prescription medication-caused neuropathy, not alcohol
  • G62.2: Polyneuropathy due to other toxic agents is for non-alcohol toxic exposures
  • E11.42: Diabetic polyneuropathy may coexist with alcoholic neuropathy; both should be coded if present
  • G62.9: Polyneuropathy, unspecified should not be used when alcohol etiology is documented

Child Codes

Code Hierarchy

Work G62.1 in HCC Buddy

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