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v1.0.0
ICD-10 Guide
ICD-10 CodesChapter 6: Diseases of the nervous systemG98

G98

Billable

Other disorders of nervous system not elsewhere classified

Chapter 6:Diseases of the nervous system

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

Code Description

ICD-10 G98 is a billable code used to indicate a diagnosis of other disorders of nervous system not elsewhere classified.

Key Diagnostic Point:

The G98 code encompasses a variety of disorders affecting the nervous system that do not fit neatly into other specific categories. This includes pain syndromes such as complex regional pain syndrome (CRPS), which is characterized by severe pain, swelling, and changes in skin color and temperature in the affected limb. Autonomic disorders, such as dysautonomia, which can lead to abnormal heart rate, blood pressure fluctuations, and gastrointestinal issues, are also included. Hydrocephalus, a condition marked by an accumulation of cerebrospinal fluid within the ventricles of the brain, can lead to increased intracranial pressure and neurological deficits. Other disorders may include conditions like post-polio syndrome, which manifests as new muscle weakness and fatigue in individuals who previously had polio. The diversity of conditions classified under G98 necessitates careful clinical evaluation and documentation to ensure accurate coding and appropriate treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of conditions included under the code
  • Overlap with other neurological codes
  • Need for detailed clinical documentation
  • Potential for misdiagnosis or misclassification

Audit Risk Factors

  • Inadequate documentation of symptoms
  • Failure to specify the underlying condition
  • Misuse of G98 when a more specific code is available
  • Inconsistent coding practices across providers

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed patient history, neurological examination findings, and diagnostic test results.

Common Clinical Scenarios

Patients presenting with chronic pain syndromes, autonomic dysfunction, or post-surgical complications.

Billing Considerations

Ensure that all relevant symptoms and diagnostic criteria are documented to support the use of G98.

Pain Management

Documentation Requirements

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

Common Clinical Scenarios

Management of complex regional pain syndrome or neuropathic pain.

Billing Considerations

Document the multidisciplinary approach to treatment and any co-existing conditions.

Coding Guidelines

Inclusion Criteria

Use G98 When
  • According to ICD
  • 10 guidelines, G98 should be used when a specific diagnosis is not available
  • Coders must ensure that the documentation supports the use of this code and that it is not used when a more specific code can be applied

Exclusion Criteria

Do NOT use G98 When
No specific exclusions found.

Related CPT Codes

99214CPT Code

Established patient office visit, level 4

Clinical Scenario

Used for follow-up visits for patients with G98 diagnoses.

Documentation Requirements

Document the patient's history, examination findings, and treatment plan.

Specialty Considerations

Neurology specialists should ensure comprehensive documentation to support the visit level.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more detailed coding of neurological disorders, including those classified under G98. This has improved the ability to capture the complexity of these conditions, leading to better patient management and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of neurological disorders, including those classified under G98. This has improved the ability to capture the complexity of these conditions, leading to better patient management and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 G98 be used?

G98 should be used when a patient presents with a neurological disorder that does not fit into a more specific category. It is essential to ensure that the documentation supports the use of this code.