ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesG31.9

G31.9

Billable

Degenerative disease of nervous system, unspecified

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

Code Description

ICD-10 G31.9 is a billable code used to indicate a diagnosis of degenerative disease of nervous system, unspecified.

Key Diagnostic Point:

Degenerative diseases of the nervous system encompass a range of disorders characterized by progressive degeneration of the structure and function of the nervous system. This category includes conditions such as Alzheimer's disease, Parkinson's disease, and other forms of dementia. Alzheimer's disease is the most common form of dementia, marked by cognitive decline, memory loss, and changes in behavior and personality. Other degenerative diseases may present with motor symptoms, cognitive impairment, or a combination of both. The unspecified designation in G31.9 indicates that the specific type of degenerative disease has not been clearly identified, which can complicate diagnosis and treatment. Clinicians often rely on comprehensive assessments, including cognitive testing and neuroimaging, to evaluate the extent of cognitive decline and differentiate between various degenerative conditions. Accurate coding is essential for appropriate management and reimbursement, as well as for tracking the prevalence of these diseases in the population.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and symptoms
  • Need for comprehensive cognitive assessments
  • Differentiation from other neurological disorders
  • Potential for overlapping symptoms with other conditions

Audit Risk Factors

  • Insufficient documentation of cognitive assessments
  • Lack of clarity in the diagnosis leading to unspecified coding
  • Inconsistent use of G31.9 in the presence of more specific codes
  • Failure to document the progression of symptoms

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, cognitive assessment results, and imaging studies.

Common Clinical Scenarios

Patients presenting with memory loss, confusion, or motor symptoms without a clear diagnosis.

Billing Considerations

Ensure that all relevant tests and assessments are documented to support the use of G31.9.

Geriatrics

Documentation Requirements

Comprehensive geriatric assessments, including functional status and cognitive evaluations.

Common Clinical Scenarios

Older adults with gradual cognitive decline or behavioral changes.

Billing Considerations

Documenting the impact of cognitive decline on daily living activities is crucial for accurate coding.

Coding Guidelines

Inclusion Criteria

Use G31.9 When
  • According to the official coding guidelines, G31
  • 9 should be used when the specific degenerative disease of the nervous system is not documented
  • Coders should ensure that all relevant clinical information is captured to support the diagnosis
  • If a more specific diagnosis is available, it should be used instead

Exclusion Criteria

Do NOT use G31.9 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

96116CPT Code

Neuropsychological testing

Clinical Scenario

Used to assess cognitive function in patients suspected of having a degenerative disease.

Documentation Requirements

Document the specific tests performed and the results.

Specialty Considerations

Neurologists and psychologists should ensure that the testing aligns with the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specificity in coding, but G31.9 remains a catch-all for unspecified degenerative diseases. This can lead to challenges in reimbursement and tracking disease prevalence, emphasizing the need for thorough documentation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specificity in coding, but G31.9 remains a catch-all for unspecified degenerative diseases. This can lead to challenges in reimbursement and tracking disease prevalence, emphasizing the need for thorough documentation.

Reimbursement & Billing Impact

reimbursement and tracking disease prevalence, emphasizing the need for thorough documentation.

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

When should I use G31.9 instead of a more specific code?

G31.9 should be used when the specific type of degenerative disease has not been clearly identified or documented. If a more specific diagnosis is available, it is preferable to use that code.