ICDcodes.org
FY2027

G32.81Cerebellar ataxia in diseases classified elsewhere

BillableCC

Is G32.81 billable?

Yes — G32.81 is billable for FY2027. G32.81 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. G32.81 may be submitted for encounters from October 1, 2026 through September 30, 2027.

G32.81 at a glance

CodeG32.81
DescriptionCerebellar ataxia in diseases classified elsewhere
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

What Medicare edits apply to G32.81?

The Medicare Code Editor screens inpatient claims before they are grouped. These edits name G32.81 directly.

Manifestation code — never sequenced first — MCE edit 6

This code describes a manifestation of an underlying disease. The underlying condition must be sequenced before it, so it can never be the principal or first-listed diagnosis.

Which MS-DRGs does G32.81 group to?

G32.81 sits in MDC 01 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 058Multiple Sclerosis and Cerebellar Ataxia with MCCmedical
  • 059Multiple Sclerosis and Cerebellar Ataxia with CCmedical
  • 060Multiple Sclerosis and Cerebellar Ataxia without CC/MCCmedical

As a secondary diagnosis, G32.81 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.

How is G32.81 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to G32.81. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Ataxia, ataxy, ataxicgluten
  • Ataxia, ataxy, ataxicglutenwith celiac disease
  • Ataxia, ataxy, ataxiccerebellarinneoplastic disease
  • Ataxia, ataxy, ataxiccerebellarinspecified disease NEC

Excludes1 — never code together

The conditions below can never be reported together with G32.81 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • systemic atrophy primarily affecting the central nervous system in alcoholic cerebellar ataxia (G31.2)
  • systemic atrophy primarily affecting the central nervous system in myxedema (G13.2)

Code first

The underlying condition below must be sequenced before G32.81. G32.81 describes a manifestation and cannot be the principal or first-listed diagnosis.

  • underlying disease, such as:
  • celiac disease (with gluten ataxia) (K90.0)
  • cerebellar ataxia (in) neoplastic disease (paraneoplastic cerebellar degeneration) (C00-D49)
  • non-celiac gluten ataxia (M35.9)

Excludes1 — never code together — inherited from G32.8

The conditions below can never be reported together with G32.81 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • superior hemorrhagic polioencephalitis [Wernicke's encephalopathy] (E51.2)

Code first — inherited from G32.8

The underlying condition below must be sequenced before G32.81. G32.81 describes a manifestation and cannot be the principal or first-listed diagnosis.

  • underlying disease, such as:
  • amyloidosis cerebral degeneration (E85.-)
  • cerebral degeneration (due to) hypothyroidism (E00.0-E03.9)
  • cerebral degeneration (due to) neoplasm (C00-D49)
  • cerebral degeneration (due to) vitamin B deficiency, except thiamine (E52-E53.-)

Excludes2 — not included here — inherited from Chapter 6

The conditions below are not part of G32.81, but a patient may have both at the same time. When documentation supports it, G32.81 and the excluded code may both be reported.

  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

How long has G32.81 existed?

G32.81 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.

Which conditions are coded to G32.81?

What other codes are in the G32.8 family? (1)