G04.32 Postimmunization acute necrotizing hemorrhagic encephalopathy

Billable ICD-10-CM code, FY2026. Acts as a Major Complication or Comorbidity (MCC) as a secondary diagnosis.

Use additional code

• code to identify the vaccine (T50.A-, T50.B-, T50.Z-)

Applies from G04 Encephalitis, myelitis and encephalomyelitis

Includes

• acute ascending myelitis
• meningoencephalitis
• meningomyelitis

Excludes1 (never code together)

• encephalopathy NOS (G93.40)

Excludes2 (not included here)

• 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)

Applies from G04.3 Acute necrotizing hemorrhagic encephalopathy

Excludes1 (never code together)

• acute disseminated encephalitis and encephalomyelitis (G04.0-)

MS-DRG index

Defines the logic of DRG(s) 023-024 in MDC 01.

Approximate ICD-9-CM (GEMs)

• 323.51 Encephalitis and encephalomyelitis following immunization procedures (approximate)

Code annotations containing back-references to G04.32

Back-references to G04.3

• Type 1 Excludes: G04.0 Acute disseminated encephalitis and encephalomyelitis (ADEM) ("acute necrotizing hemorrhagic encephalopathy (G04.3-)")

Back-references to G04

• Type 1 Excludes: G03 Meningitis due to other and unspecified causes ("meningoencephalitis (G04.-)")
• Type 1 Excludes: G03 Meningitis due to other and unspecified causes ("meningomyelitis (G04.-)")
• Type 2 Excludes: G95 Other and unspecified diseases of spinal cord ("myelitis (G04.-)")

Diagnosis Index entries for G04.32

• Encephalitis (chronic) (hemorrhagic) (idiopathic) (nonepidemic) (spurious) (subacute) › acute › necrotizing hemorrhagic › postimmunization
• Encephalomyelitis › acute necrotizing hemorrhagic › postimmunization
• Encephalopathy (acute) › acute necrotizing hemorrhagic › postimmunization

Nearby codes

• G04.1 Tropical spastic paraplegia
• G04.2 Bacterial meningoencephalitis and meningomyelitis, not elsewhere classified
• G04.3 Acute necrotizing hemorrhagic encephalopathy
• G04.30 Acute necrotizing hemorrhagic encephalopathy, unspecified
• G04.31 Postinfectious acute necrotizing hemorrhagic encephalopathy
• G04.32 Postimmunization acute necrotizing hemorrhagic encephalopathy (this code)
• G04.39 Other acute necrotizing hemorrhagic encephalopathy
• G04.8 Other encephalitis, myelitis and encephalomyelitis
• G04.81 Other encephalitis and encephalomyelitis
• G04.82 Acute flaccid myelitis
• G04.89 Other myelitis