ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 G10

Billable / Specific HCC v28: 78 CC

Huntington's disease

G10
Block
2
Synonyms
404
LCDs
14
Payer Policies
39
Linked CPTs

About ICD-10-CM G10

ICD-10-CM code G10 represents Huntington's disease. This is a billable/specific code in the Nervous System chapter (block G10). The 2026 edition of ICD-10-CM G10 became effective on October 1, 2025.

Coding Tips for G10

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

HCC capture: document with MEAT each year

G10 is a CMS-HCC v28 risk-adjustment code (category 78). To count for the patient Risk Adjustment Factor (RAF), document the diagnosis with MEAT language each calendar year: Monitored, Evaluated, Assessed, Treated. A diagnosis on the problem list alone does not satisfy CMS RADV audit standards. Include the diagnosis in the assessment with current status and current treatment plan.

Inpatient DRG impact: CC

G10 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under G10. Per CMS ICD-10-CM Tabular 2026.

  • Huntington's chorea
  • Huntington's dementia

Use Additional Code

When coding G10, also report these additional codes when applicable.

  • code, if applicable, to identify:
  • dementia with anxiety (F02.84, F02.A4, F02.B4, F02.C4)
  • dementia with behavioral disturbance (F02.81-, F02.A1-, F02.B1-, F02.C1-)
  • dementia with mood disturbance (F02.83, F02.A3, F02.B3, F02.C3)
  • dementia with psychotic disturbance (F02.82, F02.A2, F02.B2, F02.C2)
  • dementia without behavioral disturbance (F02.80, F02.A0, F02.B0, F02.C0)
  • mild neurocognitive disorder due to known physiological condition (F06.7-)

Medicare Advantage HCC Impact

CMS-HCC v28 (current)
Category 78
ESRD-HCC
Category 78
RxHCC (Part D)
Category 78

Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.

Inpatient DRG Impact, CC

codes Huntington's disease. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.

Medicare LCD Coverage for G10

Local Coverage Determinations (LCDs) from CMS MACs that list G10 as a covered diagnosis.

404 LCDs

Showing top 10 of 404 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92524 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 96112 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92521 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97130 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97129 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92597 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97110 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97533 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 96110 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92522 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing G10.

14 policies

2 Cigna

Anesthesia Services for Interventional Pain Management Procedures in an Adult - (0551)
Policy ID: MM_0551
Neuropsychological Testing - (EN0258)
Policy ID: EN_MM_0258

5 Medicare

Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Policy ID: ART-54111
Billing and Coding: CT of the Head
Policy ID: ART-56612
Billing and Coding: Neurophysiology Evoked Potentials (NEPs)
Policy ID: ART-56773
Billing and Coding: Outpatient Speech Language Pathology
Policy ID: ART-56868
Billing and Coding: Psychiatry and Psychology Services
Policy ID: ART-56937

CPT Codes Commonly Billed with G10

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

39 linkages
  • 95857 CMS LCD: Billing and Coding: Outpatient Speech Language Pathology CMS LCD
  • 92512 CMS LCD: Billing and Coding: Outpatient Speech Language Pathology CMS LCD
  • 92617 CMS LCD: Billing and Coding: Outpatient Speech Language Pathology CMS LCD
  • 92520 CMS LCD: Billing and Coding: Outpatient Speech Language Pathology CMS LCD
  • 92630 CMS LCD: Billing and Coding: Outpatient Speech Language Pathology CMS LCD
  • 92612 CMS LCD: Billing and Coding: Outpatient Speech Language Pathology CMS LCD
  • 92606 CMS LCD: Billing and Coding: Outpatient Speech Language Pathology CMS LCD
  • 92618 CMS LCD: Billing and Coding: Outpatient Speech Language Pathology CMS LCD
  • 92650 CMS LCD: Billing and Coding: Outpatient Speech Language Pathology CMS LCD
  • 31579 CMS LCD: Billing and Coding: Outpatient Speech Language Pathology CMS LCD

Convert G10 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
G10 3334 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 G10, Billing FAQ

Is ICD-10 code G10 billable? +

Yes, G10 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to G10? +

ICD-10 G10 includes: Huntington's chorea; Huntington's dementia.

Does G10 affect Medicare Advantage HCC risk adjustment? +

Yes. G10 maps to CMS-HCC v28 category 78. Capture this diagnosis annually for accurate Medicare Advantage risk score.

Is G10 a CC or MCC for inpatient DRG? +

Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.

What CPT codes are commonly billed with G10? +

Procedures frequently paired with G10 include: 95857, 92512, 92617, 92520, 92630.

What ICD-9 codes does G10 map to? +

Per CMS GEMs, G10 maps to ICD-9 codes: 3334. 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 June 1, 2026.

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