2026 ICD-10-CM Diagnosis Code G04.2
Bacterial meningoencephalitis and meningomyelitis, not elsewhere classified
- ICD-10-CM Code:
- G04.2
- ICD-10 Code for:
- Bacterial meningoencephalitis and meningomyelitis, NEC
- Is Billable?
- Yes - Valid for Submission
- Chronic Condition Indicator: [1]
- Not chronic
- Code Navigator:
G04.2 is a billable diagnosis code used to specify a medical diagnosis of bacterial meningoencephalitis and meningomyelitis, not elsewhere classified. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2025 through September 30, 2026.
Approximate Synonyms
The following list of clinical terms are approximate synonyms, alternative descriptions, or common phrases that might be used by patients, healthcare providers, or medical coders to describe the same condition. These synonyms and related diagnosis terms are often used when searching for an ICD-10 code, especially when the exact medical terminology is unclear. Whether you're looking for lay terms, similar diagnosis names, or common language alternatives, this list can help guide you to the correct ICD-10 classification.
- Bacterial meningoencephalitis
- Bacterial meningomyelitis
- Meningomyelitis
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.
Bacterial infections
CCSR Code: INF003
Inpatient Default: N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.
Outpatient Default: N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.
Encephalitis
CCSR Code: NVS002
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.
Index to Diseases and Injuries References
The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).
- Meningoencephalitis - See Also: Encephalitis; - G04.90
- bacterial NEC - G04.2
- pneumococcal - G04.2
- staphylococcal - G04.2
- streptococcal - G04.2
- Meningomyelitis - See Also: Meningoencephalitis;
- bacterial NEC - G04.2
Index of External Cause of Injuries
References found for this diagnosis code in the External Cause of Injuries Index:
- Meningoencephalitis
- bacterial NEC
- Meningoencephalitis
- pneumococcal
- Meningoencephalitis
- staphylococcal
- Meningoencephalitis
- streptococcal
- Meningomyelitis
- bacterial NEC
Convert G04.2 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.
Bacterial meningitis NOS
ICD-9-CM: 320.9
Approximate Flag - The approximate mapping means this ICD-10 code does not have an exact ICD-9 equivalent. The matched code is the closest available option, but it may not fully capture the original diagnosis or clinical intent.
Patient Education
Encephalitis
What is 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.
What causes encephalitis?
There are different types of encephalitis, based on what the cause is. The two main types are infectious encephalitis and autoimmune encephalitis.
Infectious encephalitis is usually caused by a virus. In fact, viruses are the most common cause of encephalitis. Some of the different viruses that cause it include:
- Herpes viruses, including herpes simplex (HSV), the Epstein-Barr virus (which causes infectious mononucleosis) and the varicella-zoster virus (which causes chickenpox).
- Viruses you can get if you are bitten by an infected tick, such as tick-borne encephalitis (TBE virus) and Powassan virus.
- Viruses you can get if you are bitten by an infected mosquito, such as eastern equine encephalitis virus, West Nile virus, and La Crosse virus.
- Enteroviruses, which are a common group of viruses that mostly cause mild illness or respiratory infection. These infections usually happen in the summer and fall.
Bacteria, fungi, and parasites can also cause infectious encephalitis. But this is not common.
Autoimmune encephalitis happens when your immune system mistakenly attacks healthy brain cells. It can be triggered by conditions such as certain cancers, benign tumors, and infections. Sometimes the cause is not known.
Who is more likely to get encephalitis?
Anyone can get encephalitis, but you are more likely to get it if you:
- Have a weakened immune system, for example from having HIV or taking certain medicines. These could include medicines taken after an organ transplant, certain chemotherapy medicines, and specialized treatments for certain autoimmune diseases.
- Are a young child or older adult.
- Live in areas where there are ticks and mosquitoes that carry viruses that can cause encephalitis.
What are the symptoms of encephalitis?
The symptoms of encephalitis can vary a lot, depending on how severe it is. Many people do not have any symptoms. Others may have mild flu-like symptoms such as fever, fatigue, headache, or body aches. If encephalitis becomes more serious, it can cause:
- Severe headache
- Stiff neck
- Vomiting
- Seizures
- Behavior changes
- Drowsiness
- Muscle weakness
- Partial paralysis in your arms and legs
- Coma
Encephalitis can be dangerous in infants. Their symptoms may include:
- Fever
- Lethargy (weakness or drowsiness)
- Poor feeding
- Vomiting
- Body stiffness
- Unusual irritability or crying
- A full or bulging fontanel (the soft spot on the top of the head)
If you or your child is having symptoms of encephalitis, it's important to get medical care right away.
How is encephalitis diagnosed?
To find out if you have encephalitis, your health care provider:
- Will do a physical exam
- Will take your medical history, which includes asking about your symptoms
- May do a neurologic exam
- May order imaging tests, such as a brain CT scan or MRI
- May order an EEG (electroencephalography), which use small electric sensors to measure your brain activity
- May order blood and cerebrospinal fluid (CSF) tests
What are the treatments for encephalitis?
Most people with encephalitis will need treatment in the hospital. Depending on the cause, treatments may include antiviral medicines, antibiotics, corticosteroids, and other medicines.
For some types of encephalitis, there is no medicine to treat it. But rest, nutrition, and fluids can help your body fight the infection and relieve symptoms.
Some people may need physical, speech, and occupational therapy once the illness is under control.
Can encephalitis be prevented?
There are steps you can take to help prevent encephalitis that is caused by infections:
- Use good hygiene, including washing your hands often with soap and water.
- Don't share food, drinks, utensils, and glasses with other people.
- Get vaccines for viruses that can cause encephalitis.
- Avoid mosquito and tick bites, for example by:
- Wearing insect repellent with DEET or another U.S. Environmental Protection Agency (EPA)-registered insect repellent. Make sure to follow the instructions for using the repellant.
- Wearing clothes that cover your arms, legs and feet.
- Treating your clothing and gear with products containing 0.5% permethrin before you go in grassy or woody areas.
NIH: National Institute of Neurological Disorders and Stroke
[Learn More in MedlinePlus]
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
[Learn More in MedlinePlus]
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.
[Learn More in MedlinePlus]
Code History
- FY 2026 - No Change, 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] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.