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G93.31 ICD-10-CM Code: Postviral fatigue syndrome

G93.31 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC coding software

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Code lookupG93.31

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

G93.31

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

Postviral fatigue syndrome

Severe tiredness and weakness that develops after a viral infection and can persist for months or years.

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

N/A

Not mapped

RXHCC

N/A

Not mapped

Inclusion Terms

Official

No inclusion terms are included in this display for G93.31. 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 G93.31. Check the code and parent instructions in the Code Book.

Excludes 1

Official
  • chronic fatigue NOS (R53.82)Inherited from G93.3
  • neurasthenia (F48.8)Inherited from G93.3

Code First

Official

No Code First sequencing instructions are included in this display for G93.31. Check the code and parent instructions in the Code Book.

Use Additional

Official
  • code, if applicable, for post COVID-19 condition, unspecified (U09.9)Inherited from G93.3

Code Also

Official

No Code Also instructions are included in this display for G93.31. Check the code and parent instructions in the Code Book.

Buddy Documentation Tip

HCC Buddy guidance
Requires documentation of a preceding viral illness and the timeline of symptom onset
This code is distinct from chronic fatigue syndrome (ME/CFS) and should only be used when fatigue clearly follows a documented viral infection

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 G93.31 an HCC code?

No. G93.31 is a billable ICD-10-CM code with no mapping under the CMS-HCC V28 or V24 community payment models, and none under the ESRD, Part D RxHCC, or HHS-HCC models.

Code
G93.31
Description
Postviral fatigue syndrome
HCC (V28)
No CMS-HCC V28 mapping
RAF reference coefficient
Billable
Yes
Payment year
2026

Coder workflow notes

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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

G93.31 is the ICD-10-CM diagnosis code for postviral fatigue syndrome. Severe tiredness and weakness that develops after a viral infection and can persist for months or years. G93.31 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).

G93.31 is a billable ICD-10-CM code, but the current payload does not show a mapping under the CMS-HCC V28 or V24 community payment models, and none under the ESRD, Part D RxHCC, or HHS-HCC models. Do not assign risk adjustment value from this page when no source-backed mapping is shown; verify the applicable model and payment year.

Requires documentation of a preceding viral illness and the timeline of symptom onset.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for G93.31 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Requires documentation of a preceding viral illness and the timeline of symptom onset
  • This code is distinct from chronic fatigue syndrome (ME/CFS) and should only be used when fatigue clearly follows a documented viral infection

Child Codes

Code Hierarchy

G93.31 code history

Code setChange
FY2023 (effective Oct 1, 2022)Added to the code set

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

More on G93.31

Related condition guides

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