A85.0
Enteroviral encephalitis
A85.0 (also written A850) is a billable ICD-10-CM diagnosis code for enteroviral encephalitis. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 4 codes in category A85 (Other viral encephalitis, not elsewhere classified). The Alphabetic Index lists it under 1 entry. Its coding notes include a Use additional code instruction, 12 Excludes1 entries and 5 Excludes2 entries.
Use additional code
Add the listed code as a secondary code, if known.
Excludes1
Not coded here. The listed conditions generally should not be reported together.
- encephalitis due to cytomegalovirus (B25.8)
- encephalitis due to herpesvirus NEC (B10.0-)
- encephalitis due to herpesvirus [herpes simplex] (B00.4)
- encephalitis due to measles virus (B05.0)
- encephalitis due to mumps virus (B26.2)
- encephalitis due to poliomyelitis virus (A80.-)
- encephalitis due to zoster (B02.0)
- lymphocytic choriomeningitis (A87.2)
- myalgic encephalomyelitis (G93.32)
Excludes2
Not included here. Both codes may be reported if the patient has both conditions.
Also from chapter/block level (5 notes)
- carrier or suspected carrier of infectious disease (Z22.-)
- certain localized infections - see body system-related chapters
- infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium (O98.-)
- infectious and parasitic diseases specific to the perinatal period (P35-P39)
- influenza and other acute respiratory infections (J00-J22)
Care settings
How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.
Home Health Primary
Accepted as the primary (principal) diagnosis on a home health claim. The Home Health Grouper assigns it to the Neuro Rehabilitation clinical group.
Source: CMS Home Health Grouper Software v07.2.26, effective October 1, 2026IRF 60% Rule
On the CMS list of diagnoses used to determine presumptive compliance with the IRF 60 percent rule.
Source: CMS IRF Presumptive Compliance-3, FY 2027 IRF PPS final rule files, effective for discharges on or after October 1, 2026Hospital CC
Counts as a complication or comorbidity (CC) when reported as a secondary diagnosis on an inpatient claim. It does not count when the principal diagnosis is one of the 188 codes in its exclusion list. Some MS-DRGs also ignore a CC or MCC that defines the DRG.
Source: CMS MS-DRG Definitions Manual v44, effective October 1, 2026, Appendix CIncludes
Further defines or gives examples of the content of the category.
- specified viral encephalomyelitis NEC
- specified viral meningoencephalitis NEC
Also from chapter/block level (1 note)
- diseases generally recognized as communicable or transmissible
Inclusion terms
Conditions classified to this code.
- Enteroviral encephalomyelitis
Alphabetic Index terms
Terms the official Alphabetic Index lists for this code. 1 entry