G04 vs G95

G04 (Encephalitis, myelitis and encephalomyelitis) compared with G95 (Other and unspecified diseases of spinal cord), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. G95 carries an Excludes2 note covering G04: “myelitis (G04.-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

	G04Encephalitis, myelitis and encephalomyelitis	G95Other and unspecified diseases of spinal cord
Billing status	Non-billable header Report instead: G04.00, G04.01, G04.02, G04.1, G04.2	Non-billable header Report instead: G95.0, G95.11, G95.19, G95.20, G95.29
Classification	G00-G99 — Diseases of the Nervous System (G00-G99)	G00-G99 — Diseases of the Nervous System (G00-G99)
Definition	Encephalitis, myelitis and encephalomyelitis is a non-billable ICD-10-CM category code (G04).	Other and unspecified diseases of spinal cord is a non-billable ICD-10-CM category code (G95).
Includes	acute ascending myelitis meningoencephalitis meningomyelitis	—

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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources