ICDcodes.org
FY2027

G91.4Hydrocephalus in diseases classified elsewhere

Billable

Is G91.4 billable?

Yes — G91.4 is billable for FY2027. G91.4 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. G91.4 may be submitted for encounters from October 1, 2026 through September 30, 2027.

G91.4 at a glance

CodeG91.4
DescriptionHydrocephalus in diseases classified elsewhere
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

What Medicare edits apply to G91.4?

The Medicare Code Editor screens inpatient claims before they are grouped. These edits name G91.4 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 G91.4 group to?

G91.4 sits in MDC 01 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 056Degenerative Nervous System Disorders with MCCmedical
  • 057Degenerative Nervous System Disorders without MCCmedical

How is G91.4 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to G91.4. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Hydrocephalussecondary (acquired) (external) (internal) (malignant) (recurrent)
  • Hydrocephalusininfectious disease NEC (acquired) (external) (internal) (malignant) (recurrent)
  • Hydrocephalusinneoplastic disease NEC (acquired) (external) (internal) (malignant) (recurrent)
  • Hydrocephalusinparasitic disease (acquired) (external) (internal) (malignant) (recurrent)

Excludes1 — never code together

The conditions below can never be reported together with G91.4 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • hydrocephalus due to congenital toxoplasmosis (P37.1)

Code first

The underlying condition below must be sequenced before G91.4. G91.4 describes a manifestation and cannot be the principal or first-listed diagnosis.

  • underlying condition, such as:
  • congenital syphilis (A50.4-)
  • neoplasm (C00-D49)
  • plasminogen deficiency (E88.02)

Excludes1 — never code together — inherited from G91

The conditions below can never be reported together with G91.4 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • Arnold-Chiari syndrome with hydrocephalus (Q07.-)
  • congenital hydrocephalus (Q03.-)
  • spina bifida with hydrocephalus (Q05.-)

Excludes2 — not included here — inherited from Chapter 6

The conditions below are not part of G91.4, but a patient may have both at the same time. When documentation supports it, G91.4 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 G91.4 existed?

G91.4 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 codes are confused with G91.4?

ICD-10-CM declares these codes mutually exclusive with G91.4 — exactly one of each pair can be correct for a given encounter.

Which conditions are coded to G91.4?

What other codes are in the G91 family? (6)