Skip to content
Dx

ICD-10-CM 2027

ICD-10 code for Pneumococcal meningoencephalitis

G04.2

Bacterial meningoencephalitis and meningomyelitis, not elsewhere classified

From the official ICD-10-CM alphabetic index entry “Meningoencephalitis › pneumococcal”. Page updated September 29, 2026.

About coding Pneumococcal meningoencephalitis

The ICD-10-CM code for Pneumococcal meningoencephalitis is G04.2 (Bacterial meningoencephalitis and meningomyelitis, not elsewhere classified).

Within G04 (encephalitis, myelitis and encephalomyelitis), G04.2 is specifically for bacterial meningoencephalitis and meningomyelitis, not elsewhere classified. Related codes cover acute disseminated encephalitis and encephalomyelitis (ADEM) (G04.0), tropical spastic paraplegia (G04.1), acute necrotizing hemorrhagic encephalopathy (G04.3), other encephalitis, myelitis and encephalomyelitis (G04.8) and unspecified (G04.9).

As a secondary diagnosis it is an MCC (major complication or comorbidity), which can move an inpatient stay into the highest-paying "with MCC" MS-DRG of its family, unless the principal diagnosis excludes it.

In MS-DRG v44.0, it is part of the grouping logic for DRG 023 (Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis with MCC or Antineoplastic Implant or Epilepsy with Neurostimulator, relative weight 5.7444), DRG 024 (Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis without MCC, relative weight 3.9708), DRG 094 (Bacterial and Tuberculous Infections of Nervous System with MCC, relative weight 3.4124), DRG 095 (Bacterial and Tuberculous Infections of Nervous System with CC, relative weight 2.3492), DRG 096 (Bacterial and Tuberculous Infections of Nervous System without CC/MCC, relative weight 2.3213), DRG 791 (Prematurity with Major Problems, relative weight 4.1075) and 1 more, in MDC 01 (Diseases and Disorders of the Nervous System) and MDC 15 (Newborns and Other Neonates with Conditions Originating in the Perinatal Period), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

Common questions about Pneumococcal meningoencephalitis ICD-10 codes

What is the ICD-10 code for Pneumococcal meningoencephalitis?

G04.2 — Bacterial meningoencephalitis and meningomyelitis, not elsewhere classified.

Is G04.2 billable?

Yes. G04.2 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can G04.2 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict G04.2 as a principal diagnosis.

Is G04.2 a CC or MCC?

G04.2 is an MCC (major complication or comorbidity) under MS-DRG v44.0, unless excluded by the principal diagnosis.