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    v1.0.28
    OpenPayerBilling CodesDemyelinating diseases of the central nervous systemICD-10-CM g35-multiple-sclerosis
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    ICD-10-CM Code For Multiple Sclerosis: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group G35 includes multiple sclerosis, a chronic demyelinating disease of the central nervous system that encompasses relapsing and progressive forms and manifestations affecting the brain, spinal cord, and optic nerves. These ICD-10-CM diagnosis codes are used to document neurologic dysfunctions such as vision loss, motor weakness, sensory disturbances, and impaired coordination, capturing disease severity and organ system involvement. Accurate coding within the ICD-10-CM G35 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM G35: Multiple Sclerosis Overview

    The ICD-10-CM G35 group represents multiple sclerosis and related demyelinating conditions of the central nervous system, characterized by immune-mediated damage to myelin. These diagnoses target the brain, spinal cord, and optic nerves and often present with varied neurologic deficits. Accurate coding matters for correct clinical records and appropriate reimbursement because it reflects disease severity and resource use.

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    When to Use

    Use a code from this group when a clinician documents a diagnosis of multiple sclerosis or its specific clinical subtype. Codes from this group are used to capture episodes of neurologic relapse, disease progression, and related neurologic complications.

    ICD-10-CM Codes

    8 rows

    ICD-10-CM CodeDescription
    G35.ARelapsing-remitting multiple sclerosis
    G35.B0Primary progressive multiple sclerosis, unspecified
    G35.B1Active primary progressive multiple sclerosis
    G35.B2Non-active primary progressive multiple sclerosis
    G35.C0Secondary progressive multiple sclerosis, unspecified
    G35.C1Active secondary progressive multiple sclerosis
    G35.C2Non-active secondary progressive multiple sclerosis
    G35.DMultiple sclerosis, unspecified

    DRG Codes

    3 rows

    DRG CodeDescription
    058Multiple Sclerosis and Cerebellar Ataxia with MCC
    059Multiple Sclerosis and Cerebellar Ataxia with CC
    060Multiple Sclerosis and Cerebellar Ataxia without CC/MCC

    Typical Clinical Scenarios

    • A 28-year-old woman with a 6-year history of relapsing-remitting neurological symptoms presents with new-onset unilateral optic neuritis and worsening leg weakness over several days; neurologic exam shows an afferent pupillary defect and increased spasticity, and MRI shows new enhancing white matter lesions consistent with an acute relapse of her underlying demyelinating disease. She seeks urgent outpatient neurology evaluation for treatment of the relapse and modification of disease-modifying therapy. Typical codes: G35.B0, G35.C0
    • A 52-year-old man with long-standing primary progressive motor decline arrives for routine follow-up complaining of gradually worsening gait impairment, spasticity, and urinary urgency without discrete relapses; exam and prior imaging document progressive spinal cord and brain involvement over years. He is managed as a chronic, steadily progressive demyelinating disorder requiring symptomatic treatments and disability assessment. Typical codes: G35.B2, G35.C2
    • A 39-year-old woman with diagnosed demyelinating disease presents to the emergency department with an acute urinary tract infection and new fever; during admission she develops transient worsening of baseline neurologic deficits (increased weakness and sensory changes) attributed to an infectious exacerbation rather than new inflammatory lesions. A code from the group is assigned to indicate the underlying demyelinating condition as a comorbidity influencing care and recovery. Typical codes: G35.A, G35.D

    Related Codes

    G36-OTHER-ACUTE-DISSEMINATED-DEMYELINATION

    ICD-10-CM Code For Other Acute Disseminated Demyelination: Group Overview

    G37-OTHER-DEMYELINATING-DISEASES

    ICD-10-CM Code For Other Demyelinating Diseases Of Central Nervous System: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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