ICD-10-CM 2027
ICD-10 code for tropical spastic paraplegia
From the official ICD-10-CM alphabetic index entry “Paraplegia (lower) › tropical spastic”. Page updated September 29, 2026.
About coding tropical spastic paraplegia
The ICD-10-CM code for tropical spastic paraplegia is G04.1 (Tropical spastic paraplegia).
Within G04 (encephalitis, myelitis and encephalomyelitis), G04.1 is specifically for tropical spastic paraplegia. Related codes cover acute disseminated encephalitis and encephalomyelitis (ADEM) (G04.0), bacterial meningoencephalitis and meningomyelitis, not elsewhere classified (G04.2), acute necrotizing hemorrhagic encephalopathy (G04.3), other encephalitis, myelitis and encephalomyelitis (G04.8) and unspecified (G04.9).
As a secondary diagnosis it is a CC (complication or comorbidity), which can move an inpatient stay into the "with CC" 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 052 (Spinal Disorders and Injuries with CC/MCC, relative weight 1.7837) and DRG 053 (Spinal Disorders and Injuries without CC/MCC, relative weight 0.9728), in MDC 01 (Diseases and Disorders of the Nervous System), 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 tropical spastic paraplegia ICD-10 codes
What is the ICD-10 code for tropical spastic paraplegia?
- G04.1 — Tropical spastic paraplegia.
Is G04.1 billable?
- Yes. G04.1 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can G04.1 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict G04.1 as a principal diagnosis.
Is G04.1 a CC or MCC?
- G04.1 is a CC (complication or comorbidity) under MS-DRG v44.0, unless excluded by the principal diagnosis.