2027 ICD-10-CM Diagnosis Code G05Encephalitis, myelitis and encephalomyelitis in diseases classified elsewhere
G05 is a non-billable ICD-10-CM category code for encephalitis, myelitis and encephalomyelitis in diseases classified elsewhere, so it cannot be submitted on claims. Use a more specific code from this category instead, such as G05.3 and G05.4.
Code Identity
Code Classification
Specific Coding for Encphlts, myelitis & encephalomyelitis in dis classd elswhrOverview
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to G05: its own notes plus those printed at Chapter 6. A note printed at a category, block or chapter applies to every code under it.
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
- adenoviral encephalitis, myelitis and encephalomyelitis (A85.1)
- encephalitis, myelitis and encephalomyelitis (in) measles (B05.0)
- enteroviral encephalitis, myelitis and encephalomyelitis (A85.0)
- herpesviral [herpes simplex] encephalitis, myelitis and encephalomyelitis (B00.4)
- listerial encephalitis, myelitis and encephalomyelitis (A32.12)
- meningococcal encephalitis, myelitis and encephalomyelitis (A39.81)
- mumps encephalitis, myelitis and encephalomyelitis (B26.2)
- postchickenpox encephalitis, myelitis and encephalomyelitis (B01.1-)
- rubella encephalitis, myelitis and encephalomyelitis (B06.01)
- toxoplasmosis encephalitis, myelitis and encephalomyelitis (B58.2)
- zoster encephalitis, myelitis and encephalomyelitis (B02.0)
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Code First
The underlying condition named in the note is sequenced before this code.
- underlying disease, such as:
- congenital toxoplasmosis encephalitis, myelitis and encephalomyelitis (P37.1)
- cytomegaloviral encephalitis, myelitis and encephalomyelitis (B25.8)
- encephalitis, myelitis and encephalomyelitis (in) systemic lupus erythematosus (M32.19)
- eosinophilic meningoencephalitis (B83.2)
- human immunodeficiency virus [HIV] disease (B20)
- poliovirus (A80.-)
- suppurative otitis media (H66.01-H66.4)
- systemic lupus erythematosus (M32.19)
- trichinellosis (B75)
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name G05, its category, or a range that includes it.
Excludes1 2
These codes carry an Excludes1 note naming G05: they are not reported together with it, unless the two conditions are unrelated.
- G01 Meningitis in bacterial diseases classified elsewheremeningoencephalitis and meningomyelitis in bacterial diseases classified elsewhere (G05)
- G02 Meningitis in other infectious and parasitic diseases classified elsewheremeningoencephalitis and meningomyelitis in other infectious and parasitic diseases classified elsewhere (G05)
Patient EducationClinical
Encephalitis
Encephalitis is inflammation (swelling) of the brain. It can happen when an infection or medical condition that affects the brain activates your immune system. The inflammation can cause a wide range of symptoms. In extreme cases, it can lead to brain damage, stroke, or even death.
The full article covers:
- What is encephalitis?
- What causes encephalitis?
- Who is more likely to get encephalitis?
- What are the symptoms of encephalitis?
- How is encephalitis diagnosed?
- What are the treatments for encephalitis?
- Can encephalitis be prevented?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Code HistoryHistory
Questions About G05Overview
Is G05 a billable code?
No. This is a category header that groups the codes for encephalitis, myelitis and encephalomyelitis in diseases classified elsewhere, and headers cannot be submitted on claims. Claims for encephalitis, myelitis and encephalomyelitis in diseases classified elsewhere need a more specific code from this category, such as G05.3 and G05.4.
Can G05 be reported with A85.1?
Not as a rule. The Excludes1 note on G05 lists "adenoviral encephalitis, myelitis and encephalomyelitis (A85.1)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).
What is coded first with G05?
The Code First note reads: underlying disease, such as: congenital toxoplasmosis encephalitis, myelitis and encephalomyelitis (P37.1); cytomegaloviral encephalitis, myelitis and encephalomyelitis (B25.8); encephalitis, myelitis and encephalomyelitis (in) systemic lupus erythematosus (M32.19); eosinophilic meningoencephalitis (B83.2); human immunodeficiency virus [HIV] disease (B20); and 4 more listed in the Instructional Notes section. When one of these applies, it is sequenced before G05.