B02.24 ICD-10-CM Code: Postherpetic myelitis
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Coding at a Glance
- Tabular directives
- 3 inclusion terms
Inpatient Payment Groups (MS-DRG)
Potential MS-DRG participation — not a DRG assignment.
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43, Appendix B.
- MS-DRG 023 — CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR (MDC 01)
- MS-DRG 024 — CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC (MDC 01)
- MS-DRG 097 — NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC (MDC 01)
- MS-DRG 098 — NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC (MDC 01)
- MS-DRG 099 — NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC (MDC 01)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Risk Adjustment (CMS-HCC)
Payment categories this diagnosis maps to under CMS-HCC V28, payment year 2026.
- HCC 182 — Spinal Cord Disorders/Injuries
Other models: CMS-HCC V22 HCC 72 · RxHCC V08 HCC 155
Risk scores depend on the enrollee's full accepted diagnosis set and segment; a category mapping alone does not determine payment.
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for B02.24 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025
Notes without a marker are published on B02.24 itself; “inherited from” names the category or block whose note applies here.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- shingles
- zona
Source: inherited from B02
Inclusion Terms
Alternative terms the tabular list files under this code.
- Herpes zoster myelitis
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Indexed Clinical Terms (3)
Official source data — entries quoted as published, in the Index’s own lookup phrasing
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.
- Herpes, herpesvirus, herpetic, zoster, myelitis
- Myelitis (acute) (ascending) (childhood) (chronic) (descending) (diffuse) (disseminated) (idiopathic) (pressure) (progressive) (spinal cord) (subacute), herpes zoster
- Myelitis (acute) (ascending) (childhood) (chronic) (descending) (diffuse) (disseminated) (idiopathic) (pressure) (progressive) (spinal cord) (subacute), postherpetic
Verify Before Coding
- MCC as a secondary diagnosis (FY2026). Can raise the stay's MS-DRG severity tier.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
MedCoder structured relationships — computed from published CMS and AHRQ datasets
Other codes that name B02.24 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
Referenced by 9 Excludes2 notes across 2 chapters: B10 — Other human herpesviruses (via B02.-), L00 — Staphylococcal scalded skin syndrome (via B02.-), L00-L08 — Infections of the skin and subcutaneous tissue (L00-L08) (via B02.-), L01 — Impetigo (via B02.-), L02 — Cutaneous abscess, furuncle and carbuncle (via B02.-), L03 — Cellulitis and acute lymphangitis (via B02.-), L04 — Acute lymphadenitis (via B02.-), L05 — Pilonidal cyst and sinus (via B02.-), L08 — Other local infections of skin and subcutaneous tissue (via B02.-).
These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.
Referenced by 1 Code First instruction: H67 — Otitis media in diseases classified elsewhere (via B02.-).
Each of these codes carries a Code First note naming this condition — when that code is reported, THIS code is sequenced first, ahead of it.
MS-DRG Grouper Relationships (FY2026)
Potential MS-DRG participation — not a DRG assignment.
FY2026 MS-DRG: MCC — Major Complication or Comorbidity. Reported as a secondary diagnosis, this code raises the stay's MS-DRG severity tier — except when the principal diagnosis is one of 41 clinically related codes on its CMS exclusion list.
Named in the grouper logic of 5 MS-DRGs: DRG 023 (MDC 01), DRG 024 (MDC 01), DRG 097 (MDC 01), DRG 098 (MDC 01), DRG 099 (MDC 01).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Clinical classification (AHRQ CCSR):INF008 — Viral infection (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Related Codes
Same clinical process (MS-DRG)
Acts as MCC — raises the severity of other admissions. CMS groups these diagnoses into one MS-DRG principal-diagnosis exclusion process — a CC/MCC on this list never raises severity when the principal diagnosis is also on it.
B00.3 — Herpesviral meningitis, B00.82 — Herpes simplex myelitis, B00.89 — Other herpesviral infection, B00.9 — Herpesviral infection, unspecified, B01.12 — Varicella myelitis, B02.0 — Zoster encephalitis, B02.1 — Zoster meningitis, B02.21 — Postherpetic geniculate ganglionitis, B02.22 — Postherpetic trigeminal neuralgia, B02.23 — Postherpetic polyneuropathy, B02.29 — Other postherpetic nervous system involvement, B02.7 — Disseminated zoster, B02.8 — Zoster with other complications, B02.9 — Zoster without complications, B10.81 — Human herpesvirus 6 infection, B10.82 — Human herpesvirus 7 infection, B10.89 — Other human herpesvirus infection, B33.24 — Viral cardiomyopathy, B33.4 — Hantavirus (cardio)-pulmonary syndrome [HPS] [HCPS], B33.8 — Other specified viral diseases, +20 more
Same CMS-HCC risk category (V28)
CMS maps these diagnoses to the same Hierarchical Condition Category (Spinal Cord Disorders/Injuries) for risk-adjusted payment.
B00.82 — Herpes simplex myelitis, B01.12 — Varicella myelitis, G04.1 — Tropical spastic paraplegia, G04.82 — Acute flaccid myelitis, G04.89 — Other myelitis, G04.91 — Myelitis, unspecified, G05.4 — Myelitis in diseases classified elsewhere, G14 — Postpolio syndrome, G32.0 — Subacute combined degeneration of spinal cord in diseases classified elsewhere, G32.81 — Cerebellar ataxia in diseases classified elsewhere, G37.3 — Acute transverse myelitis in demyelinating disease of central nervous system, G37.4 — Subacute necrotizing myelitis of central nervous system, G83.4 — Cauda equina syndrome, G90.1 — Familial dysautonomia [Riley-Day], G95.0 — Syringomyelia and syringobulbia, G95.11 — Acute infarction of spinal cord (embolic) (nonembolic), G95.19 — Other vascular myelopathies, G95.20 — Unspecified cord compression, G95.29 — Other cord compression, G95.81 — Conus medullaris syndrome, +230 more
Related risk categories
These categories interact through CMS's HCC hierarchy — one can suppress the other's risk-adjustment weight when both are present on a claim.
Quadriplegia, Paraplegia
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Viral infection).
Same Index main term, other category
The ICD-10-CM Index to Diseases and Injuries files this code under the main terms “Herpes, herpesvirus, herpetic”, “Myelitis”; these codes share that main term but sit in a different category of the Tabular List.
B00.51 — Herpesviral iridocyclitis (iritis), B00.52 — Herpesviral keratitis (keratitis), B00.53 — Herpesviral conjunctivitis (conjunctivitis), B00.59 — Other herpesviral disease of eye (simplex, eyelid), B00.7 — Disseminated herpesviral disease (sepsis), B00.81 — Herpesviral hepatitis (simplex, hepatitis), B00.82 — Herpes simplex myelitis (herpes simplex), B00.89 — Other herpesviral infection (whitlow), B00.9 — Herpesviral infection, unspecified, B01.12 — Varicella myelitis (varicella), B10.01 — Human herpesvirus 6 encephalitis (human, 6, encephalitis), B10.09 — Other human herpesvirus encephalitis (human, 7, encephalitis), B10.81 — Human herpesvirus 6 infection (human, 6, specified NEC), B10.82 — Human herpesvirus 7 infection (human, 7, specified NEC), B10.89 — Other human herpesvirus infection (human, 8), B35.0 — Tinea barbae and tinea capitis (tonsurans), B35.4 — Tinea corporis (circinatus), G04.02 — Postimmunization acute disseminated encephalitis, myelitis and encephalomyelitis (postvaccinal), G04.82 — Acute flaccid myelitis (flaccid), G04.89 — Other myelitis (specified NEC), +25 more
Lab tests where this diagnosis supports Medicare coverage (NCD)
Medicare's National Coverage Determination (NCD) program lists this diagnosis as medical justification for these lab tests.
Contextual Map
Every relationship of B02.24 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run B02.24 with these 9 related codes in Claim Check
Hierarchy
- A00-B99 — Chapter 1: Certain Infectious and Parasitic Diseases (A00-B99) (A00-B99)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- B00-B09 — Viral infections characterized by skin and mucous membrane lesions[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Referenced by Excludes2 notes (9)
- B10 — Other human herpesviruses[Excludes2](via B02.-): “herpes zoster (B02.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- L00 — Staphylococcal scalded skin syndrome[Excludes2](via B02.-): “zoster (B02.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- L00-L08 — Infections of the skin and subcutaneous tissue (L00-L08)[Excludes2](via B02.-): “zoster (B02.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- L01 — Impetigo[Excludes2](via B02.-): “zoster (B02.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- L02 — Cutaneous abscess, furuncle and carbuncle[Excludes2](via B02.-): “zoster (B02.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- L03 — Cellulitis and acute lymphangitis[Excludes2](via B02.-): “zoster (B02.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- L04 — Acute lymphadenitis[Excludes2](via B02.-): “zoster (B02.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- L05 — Pilonidal cyst and sinus[Excludes2](via B02.-): “zoster (B02.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- and 1 more
Referenced by Code First instructions
- H67 — Otitis media in diseases classified elsewhere[Code First](via B02.-): “viral disease NEC (B00-B34)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Clinical classification (CCSR)
- INF008 — Viral infection[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
Risk adjustment (CMS-HCC)
- HCC 182 — Spinal Cord Disorders/Injuries [CMS-HCC]— CMS-HCC V28 · 2026
MS-DRG Grouper
- MCC — Major Complication or Comorbidity [MS-DRG severity]: “As a secondary diagnosis this code can raise the stay's MS-DRG severity tier (MCC).”— CMS MS-DRG Definitions Manual (Appendix C) · FY2026
- DRG 023 — CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR[MS-DRG]: “CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- DRG 024 — CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC[MS-DRG]: “CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- DRG 097 — NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC[MS-DRG]: “NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- DRG 098 — NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC[MS-DRG]: “NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- DRG 099 — NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC[MS-DRG]: “NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
MDC crossing
- MDC 01 — Diseases and Disorders of the Nervous System[MDC crossing]: “Diseases and Disorders of the Nervous System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 8,892 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2026
Index entries
- Herpes, herpesvirus, herpetic, zoster, myelitis[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Myelitis (acute) (ascending) (childhood) (chronic) (descending) (diffuse) (disseminated) (idiopathic) (pressure) (progressive) (spinal cord) (subacute), herpes zoster[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Myelitis (acute) (ascending) (childhood) (chronic) (descending) (diffuse) (disseminated) (idiopathic) (pressure) (progressive) (spinal cord) (subacute), postherpetic[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
Nearest codes (18)
- B02 — Zoster [herpes zoster][Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- B02.0 — Zoster encephalitis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- B02.1 — Zoster meningitis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- B02.2 — Zoster with other nervous system involvement[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- B02.21 — Postherpetic geniculate ganglionitis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- B02.22 — Postherpetic trigeminal neuralgia[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- B02.23 — Postherpetic polyneuropathy[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- B02.29 — Other postherpetic nervous system involvement[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- and 10 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
- Inpatient payment groups Official source data
- CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43 Release, file and checksum · Publisher’s page
- Risk adjustment Official source data
- 2026 Mid-Year Final ICD-10 Mappings + Model Software (cms.gov/files/zip/2026-midyear-final-icd-10-mappings.zip, 2026-midyear-final-model-software.zip) — CMS-HCC V28, PY2026 mid-year final release Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "B02.24 — Postherpetic myelitis." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/b02.24-postherpetic-myelitis
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionPostherpetic myelitis
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to B02.24 in its code family, with their registry titles.
- B02.1 — Zoster meningitis
- B02.2 — Zoster with other nervous system involvement
- B02.21 — Postherpetic geniculate ganglionitis
- B02.22 — Postherpetic trigeminal neuralgia
- B02.23 — Postherpetic polyneuropathy
- B02.29 — Other postherpetic nervous system involvement
- B02.3 — Zoster ocular disease
- B02.30 — Zoster ocular disease, unspecified
- B02.31 — Zoster conjunctivitis
- B02.32 — Zoster iridocyclitis