ICD-10-CM Tabular Index · Chapter 1 · FY 2027 A81

Atypical virus infections of central nervous system (A81) ICD-10-CM

The A81 code range covers atypical virus infections of central nervous system with 13 ICD-10-CM diagnosis codes. 10 of them are billable and valid for claim submission in fiscal year 2027, and the category headers group them but cannot themselves be billed.

✓ Built from the official CMS FY 2027 datasetEffective Oct 1, 2026 – Sep 30, 2027
13
Diagnosis Codes
10
Billable Codes
A81
Code Range
A80–A89
Parent Section

Includes

This note appears immediately under a three character code title to further define, or give examples of, the content of the category.

Use Additional Code

The “use additional code” indicates that a secondary code could be used to further specify the patient’s condition. This note is not mandatory and is only used if enough information is available to assign an additional code.

ICD-10-CM

Codes in the A81 Range 13 codes · 10 billable

13 of 13 shown
  • A81 Atypical virus infections of central nervous systemNon-billable
  • A81.0 Creutzfeldt-Jakob diseaseNon-billable
  • A81.00 Creutzfeldt-Jakob disease, unspecified
  • A81.01 Variant Creutzfeldt-Jakob disease
  • A81.09 Other Creutzfeldt-Jakob disease
  • A81.1 Subacute sclerosing panencephalitis
  • A81.2 Progressive multifocal leukoencephalopathy
  • A81.8 Other atypical virus infections of central nervous systemNon-billable
  • A81.81 Kuru
  • A81.82 Gerstmann-Straussler-Scheinker syndrome
  • A81.83 Fatal familial insomnia
  • A81.89 Other atypical virus infections of central nervous system
  • A81.9 Atypical virus infection of central nervous system, unspecified

Clinical Terms in This Code Range

Definitions from the National Library of Medicine for conditions coded in the A81 range.

Creutzfeldt-Jakob Syndrome

A rare transmissible encephalopathy most prevalent between the ages of 50 and 70 years. Affected individuals may present with sleep disturbances, personality changes, ATAXIA; APHASIA, visual loss, weakness, muscle atrophy, MYOCLONUS, progressive dementia, and death within one year of disease onset. A familial form exhibiting autosomal dominant inheritance and a new variant CJD (potentially associated with ENCEPHALOPATHY, BOVINE SPONGIFORM) have been described. Pathological features include prominent cerebellar and cerebral cortical spongiform degeneration and the presence of PRIONS. (From N Engl J Med, 1998 Dec 31;339(27))

Gerstmann-Straussler-Scheinker Disease

An autosomal dominant familial prion disease with a wide spectrum of clinical presentations including ATAXIA, spastic paraparesis, extrapyramidal signs, and DEMENTIA. Clinical onset is in the third to sixth decade of life and the mean duration of illness prior to death is five years. Several kindreds with variable clinical and pathologic features have been described. Pathologic features include cerebral prion protein amyloidosis, and spongiform or neurofibrillary degeneration. (From Brain Pathol 1998 Jul;8(3):499-513; Brain Pathol 1995 Jan;5(1):61-75)

Insomnia, Fatal Familial

An autosomal dominant disorder characterized by degeneration of the THALAMUS and progressive insomnia. It is caused by a mutation in the prion protein (PRIONS).

Kuru

A prion disease found exclusively among the Fore linguistic group natives of the highlands of NEW GUINEA. The illness is primarily restricted to adult females and children of both sexes. It is marked by the subacute onset of tremor and ataxia followed by motor weakness and incontinence. Death occurs within 3-6 months of disease onset. The condition is associated with ritual cannibalism, and has become rare since this practice has been discontinued. Pathologic features include a noninflammatory loss of neurons that is most prominent in the cerebellum, glial proliferation, and amyloid plaques. (From Adams et al., Principles of Neurology, 6th ed, p773)

Leukoencephalopathy, Progressive Multifocal

An opportunistic viral infection of the central nervous system associated with conditions that impair cell-mediated immunity (e.g., ACQUIRED IMMUNODEFICIENCY SYNDROME and other IMMUNOLOGIC DEFICIENCY SYNDROMES; HEMATOLOGIC NEOPLASMS; IMMUNOSUPPRESSION; and COLLAGEN DISEASES). The causative organism is JC Polyomavirus (JC VIRUS) which primarily affects oligodendrocytes, resulting in multiple areas of demyelination. Clinical manifestations include DEMENTIA; ATAXIA; visual disturbances; and other focal neurologic deficits, generally progressing to a vegetative state within 6 months. (From Joynt, Clinical Neurology, 1996, Ch26, pp36-7)

Subacute Sclerosing Panencephalitis

A rare, slowly progressive encephalitis caused by chronic infection with the MEASLES VIRUS. The condition occurs primarily in children and young adults, approximately 2-8 years after the initial infection. A gradual decline in intellectual abilities and behavioral alterations are followed by progressive MYOCLONUS; MUSCLE SPASTICITY; SEIZURES; DEMENTIA; autonomic dysfunction; and ATAXIA. DEATH usually occurs 1-3 years after disease onset. Pathologic features include perivascular cuffing, eosinophilic cytoplasmic inclusions, neurophagia, and fibrous gliosis. It is caused by the SSPE virus, which is a defective variant of MEASLES VIRUS. (From Adams et al., Principles of Neurology, 6th ed, pp767-8)

Variant Creutzfeldt-Jakob Disease

A form of Creutzfeldt-Jakob disease that is most commonly contracted after consuming meat from an animal suffering from bovine spongiform encephalopathy.

About the A81 Code Range

These conditions affect the central nervous system, meaning the brain and spinal cord. The category groups named conditions with other and unspecified atypical virus infections.

A81.0 separates Creutzfeldt-Jakob disease into variant, other, and unspecified forms. A81.1 identifies subacute sclerosing panencephalitis, while A81.2 identifies progressive multifocal leukoencephalopathy. A81.8 branches into kuru, Gerstmann-Straussler-Scheinker syndrome, fatal familial insomnia, and other atypical virus infections. A81.9 identifies an unspecified atypical virus infection of the central nervous system.

Questions About This Page

How many billable codes are in the A81 range?

Of the 13 codes in this range, 10 are billable and valid for claim submission from October 1, 2026 through September 30, 2027. Category header codes group them but cannot be reported on claims.

What does the A81 range classify?

The range classifies atypical virus infections of central nervous system. Each code links to its own reference page with billing status, MS-DRG grouping, coding notes, and clinical information.

Related References

Source: CMS FY 2027 ICD-10-CM Tabular List and order file, effective October 1, 2026 through September 30, 2027.