G04.0

Acute disseminated encephalitis and encephalomyelitis (ADEM)

FY2027Chapter 6: Diseases of the nervous system/G00–G09 Inflammatory diseases of the central nervous system

Non-billable headerNot valid on its own. Use one of the more specific codes under it.

G04.0 is a non-billable ICD-10-CM code header for acute disseminated encephalitis and encephalomyelitis (ADEM). Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. The more specific codes under it are G04.00 Acute disseminated encephalitis and encephalomyelitis, unspecified; G04.01 Postinfectious acute disseminated encephalitis and encephalomyelitis (postinfectious ADEM) and G04.02 Postimmunization acute disseminated encephalitis, myelitis and encephalomyelitis. Its coding notes include 3 Excludes1 entries and 15 Excludes2 entries.

Excludes1

Not coded here. The listed conditions generally should not be reported together.

This code
  • acute necrotizing hemorrhagic encephalopathy (G04.3-)
  • other noninfectious acute disseminated encephalomyelitis (noninfectious ADEM) (G04.81)
Inherited from G04 Encephalitis, myelitis and encephalomyelitis

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Inherited from G04 Encephalitis, myelitis and encephalomyelitis
  • acute transverse myelitis (G37.3)
  • alcoholic encephalopathy (G31.2)
  • multiple sclerosis (G35-)
  • myalgic encephalomyelitis (G93.32)
  • subacute necrotizing myelitis (G37.4)
  • toxic encephalitis (G92.8)
  • toxic encephalopathy (G92.8)
Also from chapter/block level (8 notes)
Inherited from Chapter 6 Diseases of the nervous system
  • 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)

Includes

Further defines or gives examples of the content of the category.

Inherited from G04 Encephalitis, myelitis and encephalomyelitis
  • acute ascending myelitis
  • meningoencephalitis
  • meningomyelitis

More specific codes under G04.0 3