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v1.0.0
ICD-10 Guide
ICD-10 CodesG95.8

G95.8

Billable

Other specified diseases of spinal cord

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 G95.8 is a billable code used to indicate a diagnosis of other specified diseases of spinal cord.

Key Diagnostic Point:

G95.8 encompasses a variety of conditions affecting the spinal cord that do not fall under more specific categories. This includes pain syndromes such as complex regional pain syndrome (CRPS) and neuropathic pain, which can arise from spinal cord injuries or diseases. Autonomic disorders, including dysautonomia, may also be classified here, leading to symptoms like orthostatic hypotension and abnormal heart rate regulation. Hydrocephalus, characterized by an accumulation of cerebrospinal fluid within the ventricles of the brain, can impact spinal cord function and is included in this code. Other nervous system disorders, such as myelitis or transverse myelitis, which involve inflammation of the spinal cord, may also be coded under G95.8. Accurate coding requires a thorough understanding of the underlying conditions and their manifestations, as well as the specific clinical context in which they occur.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of conditions included under the code
  • Need for precise clinical documentation
  • Potential overlap with other neurological codes
  • Variability in symptoms and treatment approaches

Audit Risk Factors

  • Inadequate documentation of the specific spinal cord disease
  • Misclassification of symptoms leading to incorrect coding
  • Failure to link the diagnosis to the treatment provided
  • Inconsistent use of terminology in clinical notes

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with unexplained neurological symptoms, chronic pain syndromes, or autonomic dysfunction.

Billing Considerations

Ensure that all relevant diagnostic tests and their results are documented to support the diagnosis.

Pain Management

Documentation Requirements

Comprehensive pain assessments, treatment history, and response to therapies.

Common Clinical Scenarios

Management of chronic pain conditions related to spinal cord diseases.

Billing Considerations

Document the specific pain characteristics and any functional limitations experienced by the patient.

Coding Guidelines

Inclusion Criteria

Use G95.8 When
  • According to ICD
  • 10 coding guidelines, G95
  • 8 should be used when the specific disease of the spinal cord is not classified elsewhere
  • Coders must ensure that the documentation supports the use of this code and that it is not used inappropriately for conditions that have more specific codes

Exclusion Criteria

Do NOT use G95.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99214CPT Code

Established patient office visit, level 4

Clinical Scenario

Used for follow-up visits for patients with chronic spinal cord diseases.

Documentation Requirements

Document history, examination findings, and medical decision-making.

Specialty Considerations

Neurology specialists should ensure comprehensive documentation of neurological assessments.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of spinal cord diseases, improving the granularity of data collection and enhancing the ability to track outcomes and treatment efficacy.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of spinal cord diseases, improving the granularity of data collection and enhancing the ability to track outcomes and treatment efficacy.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of spinal cord diseases, improving the granularity of data collection and enhancing the ability to track outcomes and treatment efficacy.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What conditions are included under G95.8?

G95.8 includes various unspecified diseases of the spinal cord, such as pain syndromes, autonomic disorders, and conditions like hydrocephalus and myelitis.