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G96.19 ICD-10-CM Code: Other disorders of meninges, not elsewhere classified

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

G96.19

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

Other disorders of meninges, not elsewhere classified

Other disorders of meninges, not elsewhere classified

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
G96Other disorders of central nervous system
G96.1Disorders of meninges, not elsewhere classified
G96.19Other disorders of meninges, not elsewhere classified

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for G96.19 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for G96.19 in this effective period.

Related Child Codes

Official
G96.191Perineural cyst
G96.198Other disorders of meninges, not elsewhere classified

Includes

Official

ICD-10-CM does not list Includes notes for G96.19 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for G96.19 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for G96.19 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for G96.19 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for G96.19 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.

What This Code Means

G96.19 is the ICD-10-CM diagnosis code for other disorders of meninges, not elsewhere classified. G96.19 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 G96.19 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 G96.19'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 G96.19 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

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