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

ICD-10 G92.04

Billable / Specific CC

Immune effector cell-associated neurotoxicity syndrome, grade 4

G92
Block
1
Synonyms
34
LCDs
5
Payer Policies
0
Linked CPTs

About ICD-10-CM G92.04

ICD-10-CM code G92.04 represents Immune effector cell-associated neurotoxicity syndrome, grade 4. This is a billable/specific code in the Nervous System chapter (block G92). The 2026 edition of ICD-10-CM G92.04 became effective on October 1, 2025.

Coding Tips for G92.04

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

Inpatient DRG impact: CC

G92.04 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 G92.04. Per CMS ICD-10-CM Tabular 2026.

  • ICANS, grade 4

Inpatient DRG Impact, CC

codes Immune effector cell-associated neurotoxicity syndrome, grade 4. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.

Medicare LCD Coverage for G92.04

Local Coverage Determinations (LCDs) from CMS MACs that list G92.04 as a covered diagnosis.

34 LCDs

Showing top 10 of 34 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Visual Fields Testing
Article ID: 56551, Effective: 2025-10-01 00:00:00, 1427 covered, 0 non-covered
CPT 92082 →
CMS LCD: Billing and Coding: Visual Fields Testing
Article ID: 56551, Effective: 2025-10-01 00:00:00, 1427 covered, 0 non-covered
CPT 92083 →
CMS LCD: Billing and Coding: Visual Fields Testing
Article ID: 56551, Effective: 2025-10-01 00:00:00, 1427 covered, 0 non-covered
CPT 92081 →
CMS LCD: Billing and Coding: Visual Fields Testing
Article ID: 56799, Effective: 2025-11-06 00:00:00, 1501 covered, 0 non-covered
CPT 92082 →
CMS LCD: Billing and Coding: Visual Fields Testing
Article ID: 56799, Effective: 2025-11-06 00:00:00, 1501 covered, 0 non-covered
CPT 92083 →
CMS LCD: Billing and Coding: Visual Fields Testing
Article ID: 56799, Effective: 2025-11-06 00:00:00, 1501 covered, 0 non-covered
CPT 92081 →
CMS LCD: Billing and Coding: MRI and CT Scans of the Head and Neck
Article ID: 57204, Effective: 2025-10-23 00:00:00, 6455 covered, 0 non-covered
CPT 70553 →
CMS LCD: Billing and Coding: MRI and CT Scans of the Head and Neck
Article ID: 57204, Effective: 2025-10-23 00:00:00, 6455 covered, 0 non-covered
CPT 70336 →
CMS LCD: Billing and Coding: MRI and CT Scans of the Head and Neck
Article ID: 57204, Effective: 2025-10-23 00:00:00, 6455 covered, 0 non-covered
CPT 72142 →
CMS LCD: Billing and Coding: MRI and CT Scans of the Head and Neck
Article ID: 57204, Effective: 2025-10-23 00:00:00, 6455 covered, 0 non-covered
CPT 70450 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing G92.04.

5 policies

2 Cigna

Electrodiagnostic Testing (EMG/NCV) - (CPG129)
Policy ID: CPG129_EMG_NCV_SSEP
Neuropsychological Testing - (EN0258)
Policy ID: EN_MM_0258

3 Medicare

Billing and Coding: Visual Fields Testing
Policy ID: ART-56551
Billing and Coding: Visual Fields Testing
Policy ID: ART-56799
Billing and Coding: MRI and CT Scans of the Head and Neck
Policy ID: ART-57204

CPT Codes Commonly Billed with G92.04

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

No procedure linkages on file for G92.04

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.

ICD-10 G92.04, Billing FAQ

Is ICD-10 code G92.04 billable? +

Yes, G92.04 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 G92.04? +

ICD-10 G92.04 includes: ICANS, grade 4.

Is G92.04 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.

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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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