ICD-10 G04.39
Billable / Specific MCCOther acute necrotizing hemorrhagic encephalopathy
About ICD-10-CM G04.39
ICD-10-CM code G04.39 represents Other acute necrotizing hemorrhagic encephalopathy. This is a billable/specific code in the Nervous System chapter (block G04). The 2026 edition of ICD-10-CM G04.39 became effective on October 1, 2025.
Coding Tips for G04.39
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
G04.39 is designated MCC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-MCC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag MCC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.
Coding Notes
Code Also
- underlying etiology, if applicable
Inpatient DRG Impact, MCC
code Other acute necrotizing hemorrhagic encephalopathy. As a Major Complication/Comorbidity (MCC), this can shift the DRG assignment to a higher-weighted category, substantial reimbursement impact.
Medicare LCD Coverage for G04.39
Local Coverage Determinations (LCDs) from CMS MACs that list G04.39 as a covered diagnosis.
Showing top 10 of 571 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing G04.39.
5 Medicare
CPT Codes Commonly Billed with G04.39
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Convert G04.39 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| G04.39 | 32361 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To G04.39
Other codes in section G00-G09 (Inflammatory diseases of the central nervous system).
ICD-10 G04.39, Billing FAQ
Is ICD-10 code G04.39 billable? +
Yes, G04.39 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
Is G04.39 a CC or MCC for inpatient DRG? +
Yes, this code is designated as MCC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.
What ICD-9 codes does G04.39 map to? +
Per CMS GEMs, G04.39 maps to ICD-9 codes: 32361. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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