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G04.00
Acute disseminated encephalitis and encephalomyelitis, unspecified
ICD10CM code
Medical Policies and Guidelines for Acute disseminated encephalitis and encephalomyelitis, unspecified
Related policies from health plans
CIGNA
Nucleic Acid Pathogen Testing - (0530)
POINT32
Outpatient Advanced Imaging Authorization (PM)
POINT32
Sleep Studies Authorization (PM)
POINT32
Sleep Studies/Sleep Therapies Authorization (PM)
Similar Codes
ICD10CM codes
G04.00
- Acute disseminated encephalitis and encephalomyelitis, unspecified
G04.90
- Encephalitis and encephalomyelitis, unspecified
G04.9
- Encephalitis, myelitis and encephalomyelitis, unspecified
G04.02
- Postimmunization acute disseminated encephalitis, myelitis and encephalomyelitis
G04.81
- Other encephalitis and encephalomyelitis
G04.8
- Other encephalitis, myelitis and encephalomyelitis
G04.0
- Acute disseminated encephalitis and encephalomyelitis (ADEM)
G04
- Encephalitis, myelitis and encephalomyelitis
G04.01
- Postinfectious acute disseminated encephalitis and encephalomyelitis (postinfectious ADEM)
G04.30
- Acute necrotizing hemorrhagic encephalopathy, unspecified
HCPCS codes
G8947
- One or more neuropsychiatric symptoms
G9012
- Other specified case management service not elsewhere classified
G9597
- Pediatric patient with minor blunt head trauma not classified as low risk according to the pecarn pr
G8404
- Lower extremity neurological exam performed and documented
G9594
- Patient presented with a minor blunt head trauma and had a head ct ordered for trauma by an emergenc
T1024
- Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to
H0046
- Mental health services, not otherwise specified
G9530
- Patient presented with a minor blunt head trauma and had a head ct ordered for trauma by an emergenc
G0432
- Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, scree
G2122
- Psychosis, depression, anxiety, apathy, and impulse control disorder not assessed
CPT4 codes
86653
- Antibody; encephalitis, St. Louis
86652
- Antibody; encephalitis, Eastern equine
86651
- Antibody; encephalitis, California (La Crosse)
00210
- Anesthesia for intracranial procedures; not otherwise specified
86654
- Antibody; encephalitis, Western equine
95824
- Electroencephalogram (EEG); cerebral death evaluation only
1490F
- Dementia severity classified, mild (DEM)
86645
- Antibody; cytomegalovirus (CMV), IgM
87332
- Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-l
86644
- Antibody; cytomegalovirus (CMV)