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G95 ICD-10-CM Code: Other and unspecified diseases of spinal cord

G95 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · free HCC coding tools

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Code lookupG95

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

G95

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

Other and unspecified diseases of spinal cord

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

Inclusion Terms

Official

No inclusion terms are included in this display for G95. Check the code and parent instructions in the Code Book.

Excludes 2

Official
  • myelitis (G04.-)
  • 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 G95. Check the code and parent instructions in the Code Book.

Excludes 1

Official

No Excludes 1 notes are included in this display for G95. Check the code and parent instructions in the Code Book.

Code First

Official

No Code First sequencing instructions are included in this display for G95. Check the code and parent instructions in the Code Book.

Use Additional

Official

No Use Additional Code instructions are included in this display for G95. Check the code and parent instructions in the Code Book.

Code Also

Official

No Code Also instructions are included in this display for G95. Check the code and parent instructions in the Code Book.

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
G95
Description
Other and unspecified diseases of spinal cord
HCC (V28)
No CMS-HCC V28 mapping
RAF reference coefficient
Billable
No
Payment year
2026

Coder workflow notes

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What This Code Means

G95 is the ICD-10-CM diagnosis code for other and unspecified diseases of spinal cord. G95 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 G95 cannot be reported on claims directly; they organize child codes that share clinical context. Coders should select the billable child code that matches the documented presentation and then verify its current source-backed HCC mapping. Do not infer a child code or risk adjustment value from the header alone.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for G95 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 2, Not included here, may code separately

  • myelitis (G04.-)

Child Codes

Code Hierarchy

G95Other and unspecified diseases of spinal cord
G95Other and unspecified diseases of spinal cord

More on G95

Related condition guides

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