G37.81 ICD-10-CM Code: Myelin oligodendrocyte glycoprotein antibody disease
Compare with another code for G37.81Check this code on a claim
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Coding at a Glance
- Tabular directives
- 1 inclusion term · 3 code-also instructions
- Risk adjustment
- CMS-HCC V28: 1 category · CMS-HCC V22 category 77
Billable · FY2027A valid, specific ICD-10-CM code, reportable for dates of service in FY2027.
What you need to know
Source: CMS/NCHS Official ICD-10-CM tabular notes, quoted. From the CMS/NCHS tabular list for the release in force. A note the category or block publishes applies to this code too, and is marked with where it comes from.
- Code alsoMay be needed with this code
- IncludesWhat this code covers
- MOG antibody disease
Where it sits Source: CMS/NCHS
Under:Chapter 6: Diseases of the Nervous SystemG35-G37 Demyelinating diseases of the central nervous systemG37 Other demyelinating diseases of central nervous systemG37.8 Other specified demyelinating diseases of central nervous system
Most relevant related codes MedCoder-derived
Read off the official notes above and this code’s own position in the tabular list. Which to report is a documentation question; Compare shows the two side by side.
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 v44, Appendix B.
- MS-DRG 058 — MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC (MDC 01)
- MS-DRG 059 — MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC (MDC 01)
- MS-DRG 060 — MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA 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 198 — Multiple Sclerosis
Other models: CMS-HCC V22 HCC 77
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 G37.81 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026
Trace:FY2027 changesChange historyRelease, file and checksum
Inclusion Terms
Alternative terms the tabular list files under this code.
- MOG antibody disease
Coder workflow for G37.81
MedCoder structured workflow — derived from this code’s own official record
Documentation check
- The provider’s diagnostic statement
- Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
Official instructions as workflow
Code Also — related condition(3 notes)
Coding workflow: Review the related condition when both are documented and the instruction applies. A Code Also note does not fix sequencing; the order follows the circumstances of the encounter.
See the official tabular notes · Guidelines I.A.17
Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.
Coding context
Guidelines, coding notes, decision aids, relationships (with MS-DRG and CCSR classification), hierarchy, HCC, coverage and the context map: what a coder reaches for after the core. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.
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.
Verify Before Coding
- CC as a secondary diagnosis (FY2027). 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-derived relationships — computed from published CMS and AHRQ datasets
MS-DRG Grouper Relationships (FY2027)
Potential MS-DRG participation — not a DRG assignment.
FY2027 MS-DRG: CC — 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 160 clinically related codes on its CMS exclusion list.
Named in the grouper logic of 3 MS-DRGs: DRG 058 (MDC 01), DRG 059 (MDC 01), DRG 060 (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):NVS020 — Other nervous system disorders (neither hereditary nor degenerative) (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 CC — 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.
G35.D — Multiple sclerosis, unspecified, G36.0 — Neuromyelitis optica [Devic], G36.1 — Acute and subacute hemorrhagic leukoencephalitis [Hurst], G36.8 — Other specified acute disseminated demyelination, G36.9 — Acute disseminated demyelination, unspecified, G37.0 — Diffuse sclerosis of central nervous system, G37.1 — Central demyelination of corpus callosum, G37.2 — Central pontine myelinolysis, G37.3 — Acute transverse myelitis in demyelinating disease of central nervous system, G37.5 — Concentric sclerosis [Balo] of central nervous system, G37.89 — Other specified demyelinating diseases of central nervous system, G37.9 — Demyelinating disease of central nervous system, unspecified, G80.0 — Spastic quadriplegic cerebral palsy, G80.1 — Spastic diplegic cerebral palsy, G80.2 — Spastic hemiplegic cerebral palsy, G80.3 — Athetoid cerebral palsy, G80.4 — Ataxic cerebral palsy, G80.8 — Other cerebral palsy, G80.9 — Cerebral palsy, unspecified, G81.00 — Flaccid hemiplegia affecting unspecified side, +139 more
Same CMS-HCC risk category (V28)
CMS maps these diagnoses to the same Hierarchical Condition Category (Multiple Sclerosis) for risk-adjusted payment.
G35 — Multiple sclerosis, G35.A — Relapsing-remitting multiple sclerosis, G35.B0 — Primary progressive multiple sclerosis, unspecified, G35.B1 — Active primary progressive multiple sclerosis, G35.B2 — Non-active primary progressive multiple sclerosis, G35.C0 — Secondary progressive multiple sclerosis, unspecified, G35.C1 — Active secondary progressive multiple sclerosis, G35.C2 — Non-active secondary progressive multiple sclerosis, G35.D — Multiple sclerosis, unspecified, G36.0 — Neuromyelitis optica [Devic], G36.1 — Acute and subacute hemorrhagic leukoencephalitis [Hurst], G36.8 — Other specified acute disseminated demyelination, G36.9 — Acute disseminated demyelination, unspecified, G37.0 — Diffuse sclerosis of central nervous system, G37.1 — Central demyelination of corpus callosum, G37.2 — Central pontine myelinolysis, G37.5 — Concentric sclerosis [Balo] of central nervous system, G37.89 — Other specified demyelinating diseases of central nervous system, G37.9 — Demyelinating disease of central nervous system, unspecified
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Other nervous system disorders (neither hereditary nor degenerative)).
G36.1 — Acute and subacute hemorrhagic leukoencephalitis [Hurst], G36.8 — Other specified acute disseminated demyelination, G36.9 — Acute disseminated demyelination, unspecified, G37.0 — Diffuse sclerosis of central nervous system, G37.1 — Central demyelination of corpus callosum, G37.2 — Central pontine myelinolysis, G37.3 — Acute transverse myelitis in demyelinating disease of central nervous system, G37.4 — Subacute necrotizing myelitis of central nervous system, G37.5 — Concentric sclerosis [Balo] of central nervous system, G37.8 — Other specified demyelinating diseases of central nervous system, G37.89 — Other specified demyelinating diseases of central nervous system, G37.9 — Demyelinating disease of central nervous system, unspecified, G46.0 — Middle cerebral artery syndrome, G46.1 — Anterior cerebral artery syndrome, G46.2 — Posterior cerebral artery syndrome, G46.3 — Brain stem stroke syndrome, G46.4 — Cerebellar stroke syndrome, G46.5 — Pure motor lacunar syndrome, G46.6 — Pure sensory lacunar syndrome, G46.7 — Other lacunar syndromes, +97 more
Contextual Map
Every relationship of G37.81 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 G37.81 with these 2 related codes in Claim Check
Hierarchy
- G00-G99 — Chapter 6: Diseases of the Nervous System (G00-G99) (G00-G99)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
Code Also
- G04.81 — Other encephalitis and encephalomyelitis[Code Also]: “noninfectious acute disseminated encephalomyelitis (G04.81)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
- G36.0 — Neuromyelitis optica [Devic][Code Also]: “neuromyelitis optica (G36.0)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
Clinical classification (CCSR)
- NVS020 — Other nervous system disorders (neither hereditary nor degenerative)[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
Risk adjustment (CMS-HCC)
- HCC 198 — Multiple Sclerosis [CMS-HCC]— CMS-HCC V28 · 2026
MS-DRG Grouper
- CC — Complication or Comorbidity [MS-DRG severity]: “As a secondary diagnosis this code can raise the stay's MS-DRG severity tier (CC).”— CMS MS-DRG Definitions Manual (Appendix C) · FY2027
- DRG 058 — MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC[MS-DRG]: “MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- DRG 059 — MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC[MS-DRG]: “MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- DRG 060 — MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC[MS-DRG]: “MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
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. 8,919 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2027
Index entries
- Disease, diseased, MOG antibody[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
- Disease, diseased, myelin oligodendrocyte glycoprotein antibody[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
- MOGAD (myelin oligodendrocyte glycoprotein antibody disease)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
Nearest codes (10)
- G37 — Other demyelinating diseases of central nervous system[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- G37.0 — Diffuse sclerosis of central nervous system[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- G37.1 — Central demyelination of corpus callosum[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- G37.2 — Central pontine myelinolysis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- G37.3 — Acute transverse myelitis in demyelinating disease of central nervous system[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- G37.4 — Subacute necrotizing myelitis of central nervous system[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- G37.5 — Concentric sclerosis [Balo] of central nervous system[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- G37.8 — Other specified demyelinating diseases of central nervous system[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- and 2 more
Change history
- FY2024 — Added to the code set[Change history]— CMS release files (code change ledger) · icd10cm-fy2024
Reference
Index terms and tables, published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.
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.
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 FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v44.0 (October 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 — v44 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-derived 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 editorial 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.
Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources
Labels on this page: Official source data · MedCoder-derived relationship · MedCoder editorial explanation. How to read the labels · All data sources and release dates · CMS coding rules
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. "G37.81 — Myelin oligodendrocyte glycoprotein antibody disease." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/g37.81-myelin-oligodendrocyte-glycoprotein-antibody-disease
Change history
- FY2024 — October 1, 2023Added to the code setMyelin oligodendrocyte glycoprotein antibody diseaseFY2024 changes
Nearest Codes in This Family
Official ICD-10-CM classifications closest to G37.81 in its code family, with their registry titles.
- G37 — Other demyelinating diseases of central nervous system
- G37.0 — Diffuse sclerosis of central nervous system
- G37.1 — Central demyelination of corpus callosum
- G37.2 — Central pontine myelinolysis
- G37.3 — Acute transverse myelitis in demyelinating disease of central nervous system
- G37.4 — Subacute necrotizing myelitis of central nervous system
- G37.5 — Concentric sclerosis [Balo] of central nervous system
- G37.8 — Other specified demyelinating diseases of central nervous system
- G37.89 — Other specified demyelinating diseases of central nervous system
- G37.9 — Demyelinating disease of central nervous system, unspecified