Not Valid for Submission
G04.0 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of acute disseminated encephalitis and encephalomyelitis (adem). The code is not specific and is NOT valid for the year 2022 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.
Specific Coding for Acute disseminated encephalitis and encephalomyelitis (ADEM)
Non-specific codes like G04.0 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for acute disseminated encephalitis and encephalomyelitis (adem):
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code G04.0:
Type 1 ExcludesType 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
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
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
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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
- 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.
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