InnovaRx Innova Health Strategies

G04.0

Acute disseminated encephalitis and encephalomyelitis (ADEM)

Not billable — category only FY2026 2025-10-01 → 2026-09-30
Exclusions 18 never code together
G04code
Excludes1
  • encephalopathy NOS (G93.40)G93.40
Excludes2
  • acute transverse myelitis (G37.3)G37.3
  • alcoholic encephalopathy (G31.2)G31.2
  • multiple sclerosis (G35-)G35-
  • myalgic encephalomyelitis (G93.32)G93.32
  • subacute necrotizing myelitis (G37.4)G37.4
  • toxic encephalitis (G92.8)G92.8
  • toxic encephalopathy (G92.8)G92.8
G04.0code
Excludes1
  • acute necrotizing hemorrhagic encephalopathy (G04.3-)G04.3-G04.3-
  • other noninfectious acute disseminated encephalomyelitis (noninfectious ADEM) (G04.81)G04.81G04.81
G00-G99chapter
Excludes2
  • certain conditions originating in the perinatal period (P04-P96)P04-P96
  • certain infectious and parasitic diseases (A00-B99)A00-B99
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)O00-O9A
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)Q00-Q99
  • endocrine, nutritional and metabolic diseases (E00-E88)E00-E88
  • injury, poisoning and certain other consequences of external causes (S00-T88)S00-T88
  • neoplasms (C00-D49)C00-D49
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)R00-R94

Excludes1 — never code together. The excluded condition and this one are mutually exclusive.

Excludes2 — not included here, but the patient may have both. Code both when documented.

Instructional notes 3
G04code
Includes
  • acute ascending myelitis
  • meningoencephalitis
  • meningomyelitis
Index entries leading here filed at null

No alphabetic index entry points at this code.

Alongside this code 5 same parent — G04
Subordinate codes 3
Additional references
AHA Coding Clinic® Licence required

Official coding advice for this code. Published by the American Hospital Association. Not included in this installation.

Risk adjustment

Maps to no condition category in any loaded model.

Presence is a property of the code. Untick a model to hide it everywhere.

This code

Billable
no
Code set
FY2026
Parent
G04
Block
G00-G09
Siblings
5
Subordinate
3

Present FY2024–FY2027.