Is G93.7 a billable ICD-10-CM code?

Yes. G93.7 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does G93.7 sit in the tabular list?

Diseases of the nervous system (G00-G99), in the block Other disorders of the nervous system (G89-G99).

G93.7

G93.7 — Reye's syndrome

Billable / specific codeICD-10-CM

G93.7 is a billable, specific ICD-10-CM code for reye's syndrome. It is valid for submission on a claim.

Code first

The underlying condition must be sequenced before this code.

poisoning due to salicylates, if applicable (T39.0-, with sixth character 1-4)

Use additional code

Add a secondary code to capture the detail described below.

code for adverse effect due to salicylates, if applicable (T39.0-, with sixth character 5)

Other codes that can never be billed with G93.7

These codes carry an Excludes1 note pointing at G93.7. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading G93.7 alone.

E88.4Mitochondrial metabolism disorders
G71.3Mitochondrial myopathy, not elsewhere classified

Risk adjustment

G93.7 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 127 Dementia, Mild or Unspecified0.341 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.

Medicare coverage

G93.7 is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
A57204Billing and Coding: MRI and CT Scans of the Head and Neck

How G93.7 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to G93.7.

Reye's syndrome
Syndrome›Reye's

Related codes at this level

Codes that share G93. If G93.7 is not quite right, the correct code is usually one of these.

Questions about G93.7

Is G93.7 a billable ICD-10-CM code?: Yes. G93.7 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does G93.7 sit in the tabular list?: Diseases of the nervous system (G00-G99), in the block Other disorders of the nervous system (G89-G99).