2026 ICD-10-CM Diagnosis Code G35

Multiple sclerosis

ICD-10-CM Code:
G35
ICD-10 Code for:
Multiple sclerosis
Is Billable?
Not Valid for Submission
Chronic Condition Indicator: [1]
Chronic
Code Navigator:

G35 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of multiple sclerosis. The code is not specific and is NOT valid for the year 2026 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 Applicable to Multiple sclerosis

Non-specific codes like G35 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for multiple sclerosis:

  • Use G35.A for Relapsing-remitting multiple sclerosis - BILLABLE CODE

  • G35.B for Primary progressive multiple sclerosis - NON-BILLABLE CODE

  • Use G35.B0 for Primary progressive multiple sclerosis, unspecified - BILLABLE CODE

  • Use G35.B1 for Active primary progressive multiple sclerosis - BILLABLE CODE

  • Use G35.B2 for Non-active primary progressive multiple sclerosis - BILLABLE CODE

  • G35.C for Secondary progressive multiple sclerosis - NON-BILLABLE CODE

  • Use G35.C0 for Secondary progressive multiple sclerosis, unspecified - BILLABLE CODE

  • Use G35.C1 for Active secondary progressive multiple sclerosis - BILLABLE CODE

  • Use G35.C2 for Non-active secondary progressive multiple sclerosis - BILLABLE CODE

  • Use G35.D for Multiple sclerosis, unspecified - BILLABLE CODE

Code Classification

  • Diseases of the nervous system
    G00–G99
    • Demyelinating diseases of the central nervous system
      G35-G37
      • Multiple sclerosis
        G35

Clinical Classification

Clinical Classifications group individual ICD-10-CM diagnosis codes into broader, clinically meaningful categories. These categories help simplify complex data by organizing related conditions under common clinical themes.

They are especially useful for data analysis, reporting, and clinical decision-making. Even when diagnosis codes differ, similar conditions can be grouped together based on their clinical relevance. Each category is assigned a unique CCSR code that represents a specific clinical concept, often tied to a body system or medical specialty.

Multiple sclerosis

CCSR Code: NVS005

Inpatient Default: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.

Outpatient Default: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.

Clinical Information

  • Multiple Sclerosis

    an autoimmune disorder mainly affecting young adults and characterized by destruction of myelin in the central nervous system. pathologic findings include multiple sharply demarcated areas of demyelination throughout the white matter of the central nervous system. clinical manifestations include visual loss, extra-ocular movement disorders, paresthesias, loss of sensation, weakness, dysarthria, spasticity, ataxia, and bladder dysfunction. the usual pattern is one of recurrent attacks followed by partial recovery (see multiple sclerosis, relapsing-remitting), but acute fulminating and chronic progressive forms (see multiple sclerosis, chronic progressive) also occur. (adams et al., principles of neurology, 6th ed, p903)
  • Multiple Sclerosis, Chronic Progressive

    a form of multiple sclerosis characterized by a progressive deterioration in neurologic function which is in contrast to the more typical relapsing remitting form. if the clinical course is free of distinct remissions, it is referred to as primary progressive multiple sclerosis. when the progressive decline is punctuated by acute exacerbations, it is referred to as progressive relapsing multiple sclerosis. the term secondary progressive multiple sclerosis is used when relapsing remitting multiple sclerosis evolves into the chronic progressive form. (from ann neurol 1994;36 suppl:s73-s79; adams et al., principles of neurology, 6th ed, pp903-914)
  • Multiple Sclerosis, Relapsing-Remitting

    the most common clinical variant of multiple sclerosis, characterized by recurrent acute exacerbations of neurologic dysfunction followed by partial or complete recovery. common clinical manifestations include loss of visual (see optic neuritis), motor, sensory, or bladder function. acute episodes of demyelination may occur at any site in the central nervous system, and commonly involve the optic nerves, spinal cord, brain stem, and cerebellum. (adams et al., principles of neurology, 6th ed, pp903-914)
  • ABCA12 wt Allele|ABC12|ARCI4A|ARCI4B|ATP Binding Cassette Subfamily A Member 12 wt Allele|ATP-Binding Cassette, Sub-Family A (ABC1), Member 12 Gene|ATP-Binding Cassette, Subfamily A, Member 12 Gene|DKFZP434G232|ICR2B|Ichthyosis Congenita II, Lamellar Ichthyosis B Gene|LI2

    human abca12 wild-type allele is located in the vicinity of 2q35 and is approximately 207 kb in length. this allele, which encodes glucosylceramide transporter abca12 protein, plays a role in both the membrane localization of glucosylceramide and other lipids in lamellar granules and in cholesterol transport. mutation of the gene is associated with autosomal recessive congenital ichthyosis (arci) types 4a and 4b (harlequin).
  • Lamellar Ichthyosis

    a very rare, autosomal recessive inherited skin disorder present at birth. it is characterized by the presence of a transparent membrane encasing the newborn. this membrane sheds in about two weeks after birth to reveal generalized scaling and skin erythema.

Replaced Code

This code was replaced in the 2026 ICD-10-CM code set with the code(s) listed below. The National Center for Health Statistics (NCHS) has published an update to the ICD-10-CM diagnosis codes which became effective October 1, 2025. This code was replaced for the FY 2026 (October 1, 2025 - September 30, 2026).


  • G35.A - Relapsing-remitting multiple sclerosis
  • G35.A - Relapsing-remitting multiple sclerosis
  • G35.A - Relapsing-remitting multiple sclerosis
  • G35.A - Relapsing-remitting multiple sclerosis
  • G35.A - Relapsing-remitting multiple sclerosis
  • G35.A - Relapsing-remitting multiple sclerosis
  • G35.B0 - Primary progressive multiple sclerosis, unspecified
  • G35.B0 - Primary progressive multiple sclerosis, unspecified
  • G35.B0 - Primary progressive multiple sclerosis, unspecified
  • G35.B0 - Primary progressive multiple sclerosis, unspecified
  • G35.B0 - Primary progressive multiple sclerosis, unspecified
  • G35.B0 - Primary progressive multiple sclerosis, unspecified
  • G35.B1 - Active primary progressive multiple sclerosis
  • G35.B1 - Active primary progressive multiple sclerosis
  • G35.B1 - Active primary progressive multiple sclerosis
  • G35.B1 - Active primary progressive multiple sclerosis
  • G35.B1 - Active primary progressive multiple sclerosis
  • G35.B1 - Active primary progressive multiple sclerosis
  • G35.B2 - Non-active primary progressive multiple sclerosis
  • G35.B2 - Non-active primary progressive multiple sclerosis
  • G35.B2 - Non-active primary progressive multiple sclerosis
  • G35.B2 - Non-active primary progressive multiple sclerosis
  • G35.B2 - Non-active primary progressive multiple sclerosis
  • G35.B2 - Non-active primary progressive multiple sclerosis
  • G35.C0 - Secondary progressive multiple sclerosis, unspecified
  • G35.C0 - Secondary progressive multiple sclerosis, unspecified
  • G35.C0 - Secondary progressive multiple sclerosis, unspecified
  • G35.C0 - Secondary progressive multiple sclerosis, unspecified
  • G35.C0 - Secondary progressive multiple sclerosis, unspecified
  • G35.C0 - Secondary progressive multiple sclerosis, unspecified
  • G35.C1 - Active secondary progressive multiple sclerosis
  • G35.C1 - Active secondary progressive multiple sclerosis
  • G35.C1 - Active secondary progressive multiple sclerosis
  • G35.C1 - Active secondary progressive multiple sclerosis
  • G35.C1 - Active secondary progressive multiple sclerosis
  • G35.C1 - Active secondary progressive multiple sclerosis
  • G35.C2 - Non-active secondary progressive multiple sclerosis
  • G35.C2 - Non-active secondary progressive multiple sclerosis
  • G35.C2 - Non-active secondary progressive multiple sclerosis
  • G35.C2 - Non-active secondary progressive multiple sclerosis
  • G35.C2 - Non-active secondary progressive multiple sclerosis
  • G35.C2 - Non-active secondary progressive multiple sclerosis
  • G35.D - Multiple sclerosis, unspecified
  • G35.D - Multiple sclerosis, unspecified
  • G35.D - Multiple sclerosis, unspecified
  • G35.D - Multiple sclerosis, unspecified
  • G35.D - Multiple sclerosis, unspecified
  • G35.D - Multiple sclerosis, unspecified

Convert G35 to ICD-9-CM

Below are the ICD-9 codes that most closely match this ICD-10 code, based on the General Equivalence Mappings (GEMs). This ICD-10 to ICD-9 crosswalk tool is helpful for coders who need to reference legacy diagnosis codes for audits, historical claims, or approximate code comparisons.

Multiple sclerosis

ICD-9-CM: 340

This is a direct match with no additional mapping qualifiers. The absence of a flag generally means the mapping is considered exact or precise. In other words, the ICD-10 code maps cleanly to the ICD-9 code without qualification, approximation, or needing multiple codes.

Patient Education


Multiple Sclerosis

Multiple sclerosis (MS) is a nervous system disease that affects your brain and spinal cord. It damages the myelin sheath, the material that surrounds and protects your nerve cells. This damage slows down or blocks messages between your brain and your body, leading to the symptoms of MS. They can include:

  • Visual disturbances
  • Muscle weakness
  • Trouble with coordination and balance
  • Sensations such as numbness, prickling, or "pins and needles"
  • Thinking and memory problems

No one knows what causes MS. It may be an autoimmune disease, which happens when your immune system attacks healthy cells in your body by mistake. Multiple sclerosis affects women more than men. It often begins between the ages of 20 and 40. Usually, the disease is mild, but some people lose the ability to write, speak, or walk.

There is no specific test for MS. Doctors use a medical history, physical exam, neurological exam, MRI, and other tests to diagnose it. There is no cure for MS, but medicines may slow it down and help control symptoms. Physical and occupational therapy may also help.

NIH: National Institute of Neurological Disorders and Stroke


[Learn More in MedlinePlus]

Multiple sclerosis

Multiple sclerosis is a condition characterized by areas of damage (lesions) on the brain and spinal cord. These lesions are associated with destruction of the covering that protects nerves and promotes the efficient transmission of nerve impulses (the myelin sheath) and damage to nerve cells. Multiple sclerosis is considered an autoimmune disorder; autoimmune disorders occur when the immune system malfunctions and attacks the body's own tissues and organs, in this case tissues of the nervous system.

Multiple sclerosis usually begins in early adulthood, between ages 20 and 40. The symptoms vary widely, and affected individuals can experience one or more effects of nervous system damage. Multiple sclerosis often causes sensory disturbances in the limbs, including a prickling or tingling sensation (paresthesia), numbness, pain, and itching. Some people experience Lhermitte sign, which is an electrical shock-like sensation that runs down the back and into the limbs. This sensation usually occurs when the head is bent forward. Problems with muscle control are common in people with multiple sclerosis. Affected individuals may have tremors, muscle stiffness (spasticity), exaggerated reflexes (hyperreflexia), weakness or partial paralysis of the muscles of the limbs, difficulty walking, or poor bladder control. Multiple sclerosis is also associated with vision problems, such as blurred or double vision or partial or complete vision loss. Infections that cause fever can make the symptoms worse.

There are several forms of multiple sclerosis: relapsing-remitting MS, secondary progressive MS, primary progressive MS, and progressive relapsing MS. The most common is the relapsing-remitting form, which affects approximately 80 percent of people with multiple sclerosis. Individuals with this form of the condition have periods during which they experience symptoms, called clinical attacks, followed by periods without any symptoms (remission). The triggers of clinical attacks and remissions are unknown. After about 10 years, relapsing-remitting MS usually develops into another form of the disorder called secondary progressive MS. In this form, there are no remissions, and symptoms of the condition continually worsen.

Primary progressive MS is the next most common form, affecting approximately 10 to 20 percent of people with multiple sclerosis. This form is characterized by constant symptoms that worsen over time, with no clinical attacks or remissions. Primary progressive MS typically begins later than the other forms, around age 40.

Progressive relapsing MS is a rare form of multiple sclerosis that initially appears like primary progressive MS, with constant symptoms. However, people with progressive relapsing MS also experience clinical attacks of more severe symptoms.


[Learn More in MedlinePlus]

Code History

  • FY 2026 - Code Deleted, effective from 10/1/2025 through 9/30/2026
  • FY 2025 - No Change, effective from 10/1/2024 through 9/30/2025
  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.