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G91.4 vs P37.1

G91.4 (Hydrocephalus in diseases classified elsewhere) compared with P37.1 (Congenital toxoplasmosis), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. G91.4 carries an Excludes1 note covering P37.1: “hydrocephalus due to congenital toxoplasmosis (P37.1)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

G91.4Hydrocephalus in diseases classified elsewhereP37.1Congenital toxoplasmosis
Billing statusBillableBillable
ClassificationG00-G99 — Diseases of the Nervous System (G00-G99)P00-P96 — Certain Conditions Originating in the Perinatal Period (P00-P96)
DefinitionHydrocephalus in diseases classified elsewhere is a billable ICD-10-CM diagnosis code (G91.4).Congenital toxoplasmosis is a billable ICD-10-CM diagnosis code (P37.1).
Includes
acquired hydrocephalus
Hydrocephalus due to congenital toxoplasmosis
Code first
underlying condition, such as:
congenital syphilis (A50.4-)

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