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G91 ICD-10-CM Code: Hydrocephalus

ICD-10-CM Code View

HCC Buddy Code Card

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FY 2026 Apr update / Diseases of the nervous system (G00-G99) / Other disorders of the nervous system (G89-G99)

G91

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

Hydrocephalus

Hydrocephalus

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
G9Other disorders of the nervous system (G89-G99)
G91Hydrocephalus

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for G91 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for G91 in this effective period.

Related Child Codes

Official
G91.0Communicating hydrocephalus
G91.1Obstructive hydrocephalus
G91.2(Idiopathic) normal pressure hydrocephalus
G91.3Post-traumatic hydrocephalus, unspecified
G91.4Hydrocephalus in diseases classified elsewhere

Includes

Official
  • acquired hydrocephalus

Excludes 1

Official
  • Arnold-Chiari syndrome with hydrocephalus (Q07.-)
  • congenital hydrocephalus (Q03.-)
  • spina bifida with hydrocephalus (Q05.-)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for G91 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for G91 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for G91 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Coder workflow notes

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What This Code Means

G91 is the ICD-10-CM diagnosis code for hydrocephalus. G91 sits in the ICD-10-CM chapter for diseases of the nervous system (g00-g99), within the section covering other disorders of the nervous system (g89-g99).

Header codes like G91 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 G91'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 G91 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Includes

  • acquired hydrocephalus

Excludes 1, Do NOT code together

  • Arnold-Chiari syndrome with hydrocephalus (Q07.-)
  • congenital hydrocephalus (Q03.-)
  • spina bifida with hydrocephalus (Q05.-)

Child Codes

Code Hierarchy

G91Hydrocephalus
G91Hydrocephalus

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