G04.01 Postinfectious acute disseminated encephalitis and encephalomyelitis (postinfectious ADEM)

✓ Billable ICD-10-CM 2026
Open G04.01 in Web App →

The ICD-10-CM code for Postinfectious acute disseminated encephalitis and encephalomyelitis (postinfectious ADEM) is G04.01 (FY2026). It is a billable, claim-ready diagnosis code.

Classification

Section
G00-G09: Inflammatory diseases of the central nervous system (G00-G09)
Category G04
19 codes (14 billable)
FY2026 Status
Stable since FY2024

Also Known As

ICD-10-CM Alphabetic Index entries that lead to G04.01:

  • Encephalomyelitis › postinfectious NEC
  • Encephalitis (chronic) (hemorrhagic) (idiopathic) (nonepidemic) (spurious) (subacute) › postinfectious NEC
  • Leukoencephalitis › postinfectious
  • Encephalomyelitis › acute disseminated › infectious
  • Encephalomyelitis › acute disseminated › postinfectious
  • Encephalitis (chronic) (hemorrhagic) (idiopathic) (nonepidemic) (spurious) (subacute) › acute › disseminated › infectious
  • Encephalitis (chronic) (hemorrhagic) (idiopathic) (nonepidemic) (spurious) (subacute) › acute › disseminated › postinfectious
  • Meningoencephalomyelitis › acute NEC (viral) › disseminated › postinfectious
Excludes1
Not coded here. These conditions should NOT be coded together with G04.01.
  • post chickenpox encephalitis (B01.1)
  • post measles encephalitis (B05.0)
  • post measles myelitis (B05.1)

U.S. Hospital Utilization

  • An estimated 370 U.S. inpatient stays in 2023 included G04.01 among the documented diagnoses.
  • 275 stays listed it as the principal diagnosis.

Source: National Inpatient Sample (NIS), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, 2016–2023. National survey-weighted estimates.

Official Coding Guidelines

Dominant/nondominant side (TOC entry)

a. Dominant/nondominant side ................................................................................................. 45

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.6.a
Pain - Category G89 (TOC entry)

b. Pain - Category G89.............................................................................................................. 45

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.6.b

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

Related Codes

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Reviewed by Prajwal Shrestha, CPC, CRC
Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) · AAPC Member ID 01997614 · About · Editorial policy · Content last reviewed: 2025-10-01

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