ICD-10 Diagnosis Code G04.2

Bacterial meningoencephalitis and meningomyelitis, NEC

Diagnosis Code G04.2

ICD-10: G04.2
Short Description: Bacterial meningoencephalitis and meningomyelitis, NEC
Long Description: Bacterial meningoencephalitis and meningomyelitis, not elsewhere classified
This is the 2017 version of the ICD-10-CM diagnosis code G04.2

Code Classification
  • Diseases of the nervous system
    • Inflammatory diseases of the central nervous system (G00-G09)
      • Encephalitis, myelitis and encephalomyelitis (G04)

Information for Patients


Encephalitis is an inflammation of the brain. Usually the cause is a viral infection, but bacteria can also cause it. It can be mild or severe. Most cases are mild. You may have flu-like symptoms. With a mild case, you may just need rest, plenty of fluids, and a pain reliever.

Severe cases need immediate treatment. Symptoms of severe cases include

  • Severe headache
  • Sudden fever
  • Drowsiness
  • Vomiting
  • Confusion
  • Seizures

In babies, additional symptoms may include constant crying, poor feeding, body stiffness, and bulging in the soft spots of the skull.

Severe cases may require a stay in the hospital. Treatments include oral and intravenous (IV) medicines to reduce inflammation and treat infection. Patients with breathing difficulties may need artificial respiration. Some people may need physical, speech, and occupational therapy once the illness is under control.

NIH: National Institute of Neurological Disorders and Stroke

  • Cerebral spinal fluid (CSF) collection
  • CSF analysis
  • Encephalitis
  • Japanese Encephalitis Vaccine: What You Need to Know (Centers for Disease Control and Prevention)
  • Subacute sclerosing panencephalitis

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Also called: Spinal meningitis

Meningitis is inflammation of the thin tissue that surrounds the brain and spinal cord, called the meninges. There are several types of meningitis. The most common is viral meningitis. You get it when a virus enters the body through the nose or mouth and travels to the brain. Bacterial meningitis is rare, but can be deadly. It usually starts with bacteria that cause a cold-like infection. It can cause stroke, hearing loss, and brain damage. It can also harm other organs. Pneumococcal infections and meningococcal infections are the most common causes of bacterial meningitis.

Anyone can get meningitis, but it is more common in people with weak immune systems. Meningitis can get serious very quickly. You should get medical care right away if you have

  • A sudden high fever
  • A severe headache
  • A stiff neck
  • Nausea or vomiting

Early treatment can help prevent serious problems, including death. Tests to diagnose meningitis include blood tests, imaging tests, and a spinal tap to test cerebrospinal fluid. Antibiotics can treat bacterial meningitis. Antiviral medicines may help some types of viral meningitis. Other medicines can help treat symptoms.

There are vaccines to prevent some of the bacterial infections that cause meningitis.

NIH: National Institute of Neurological Disorders and Stroke

  • Cerebral spinal fluid (CSF) collection
  • Cerebrospinal fluid culture
  • Meningitis
  • Meningitis - cryptococcal
  • Meningitis - gram-negative
  • Meningitis - H. influenzae
  • Meningococcal Vaccines: What You Need to Know (Centers for Disease Control and Prevention)
  • Pneumococcal Conjugate Vaccine: What You Need to Know (Centers for Disease Control and Prevention)
  • Pneumococcal Polysaccharide Vaccine: What You Need to Know (Immunization Action Coalition)

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Spinal Cord Diseases

Your spinal cord is a bundle of nerves that runs down the middle of your back. It carries signals back and forth between your body and your brain. It is protected by your vertebrae, which are the bone disks that make up your spine. If you have an accident that damages the vertebrae or other parts of the spine, this can also injure the spinal cord. Other spinal cord problems include

  • Tumors
  • Infections such as meningitis and polio
  • Inflammatory diseases
  • Autoimmune diseases
  • Degenerative diseases such as amyotrophic lateral sclerosis and spinal muscular atrophy

Symptoms vary but might include pain, numbness, loss of sensation and muscle weakness. These symptoms can occur around the spinal cord, and also in other areas such as your arms and legs. Treatments often include medicines and surgery.

  • Epidural abscess
  • Spinal cord abscess
  • Spinal tumor
  • Subacute combined degeneration
  • Syphilitic myelopathy

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