A86 diagnosis code · Billable category · FY2027
A86 Unspecified viral encephalitis
- Billable
- CC
- POA reported
A86 ICD-10 code: a billable diagnosis code in FY2027; the category has no subdivisions.
Where it sits
- Chapter 1 Certain infectious and parasitic diseases (A00-B99)
- A80-A89 Viral and prion infections of the central nervous system (A80-A89)
- A86 Unspecified viral encephalitis
- CC / MCC
- CC
- MS-DRG
- 097-099, 974-976
- HCC V28
- –
- POA
- Reported
- Code Editor
- –
- Index entries
- 10
Instructions
At A86
Inclusion terms
- Viral encephalomyelitis NOS
- Viral meningoencephalitis NOS
Notes that also apply
Block A80-A89 instructions (Excludes1 3): printed on the block page.
Chapter 1 instructions (Includes 1, Excludes2 5, Use additional code 1): printed on the chapter 1 page.
Index entries
- Encephalitis (chronic) (hemorrhagic) (idiopathic) (nonepidemic) (spurious) (subacute)›acute → A86
- Encephalitis (chronic) (hemorrhagic) (idiopathic) (nonepidemic) (spurious) (subacute)›endemic (viral) → A86
- Encephalitis (chronic) (hemorrhagic) (idiopathic) (nonepidemic) (spurious) (subacute)›epidemic NEC (viral) → A86
- Encephalitis (chronic) (hemorrhagic) (idiopathic) (nonepidemic) (spurious) (subacute)›infectious (acute) (virus) NEC → A86
- Encephalitis (chronic) (hemorrhagic) (idiopathic) (nonepidemic) (spurious) (subacute)›postviral NEC → A86
- Encephalitis (chronic) (hemorrhagic) (idiopathic) (nonepidemic) (spurious) (subacute)›viral, virus → A86
- Meningoencephalitis›acute NEC → A86
- Meningoencephalitis›infectious (acute) (viral) → A86
- Meningoencephalitis›virus NEC → A86
- Meningoencephalomyelitis›acute NEC (viral) → A86
NCHS Alphabetic Index. Index first, then the Tabular List.
Medicare grouping and edits
| CC / MCC | CC |
|---|---|
| PDX exclusion list | 0148 (186 codes) |
| Appendix B | MDC 01 Diseases and Disorders of the Nervous System, MS-DRG 097-099 (Non-Bacterial Infection of Nervous System Except Viral Meningitis with MCC…); MDC 25 Human Immunodeficiency Virus Infections, MS-DRG 974-976 (HIV with Major Related Condition with MCC…) |
| Code Editor | – |
| POA | Reported |
| HCC V28 | – |
CC as a secondary diagnosis, not when the principal diagnosis is on its PDX exclusion list.
CMS: MS-DRG v44 (Appendix B, C), MCE v44, POA list FY2027, 2027 Initial ICD-10-CM Mappings. What the rows mean.