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ICD-10 Guide
ICD-10 CodesE71.313

E71.313

Billable

Glutaric aciduria type II

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 E71.313 is a billable code used to indicate a diagnosis of glutaric aciduria type ii.

Key Diagnostic Point:

Glutaric aciduria type II (GA II) is a rare metabolic disorder caused by a deficiency of the enzyme electron transfer flavoprotein (ETF) or its associated proteins. This condition leads to the accumulation of glutaric acid and other organic acids in the body, particularly during periods of fasting or illness. Patients with GA II may present with a range of symptoms including metabolic acidosis, hypoglycemia, muscle weakness, and neurological manifestations such as seizures or developmental delays. The disorder is inherited in an autosomal recessive pattern, meaning that both copies of the gene must be mutated for the disease to manifest. Diagnosis is typically confirmed through biochemical testing, which reveals elevated levels of glutaric acid and other metabolites in urine and plasma. Early detection and management are crucial to prevent severe complications, including neurological damage. Treatment often involves dietary modifications to limit protein intake and supplementation with specific nutrients to support metabolic function. Regular monitoring and supportive care are essential for managing this chronic condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of metabolic pathways and enzyme deficiencies.
  • Differentiation from other organic acidemias can be challenging.
  • Documentation must include biochemical test results and clinical symptoms.
  • Genetic counseling may be necessary for families, adding complexity to coding.

Audit Risk Factors

  • Inadequate documentation of biochemical testing results.
  • Failure to document the patient's clinical symptoms and history.
  • Misclassification of the disorder due to similarity with other metabolic conditions.
  • Lack of genetic testing documentation when applicable.

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed growth and developmental assessments, metabolic screening results.

Common Clinical Scenarios

Infants presenting with metabolic crises, developmental delays.

Billing Considerations

Need for ongoing monitoring of growth and metabolic status.

Genetics

Documentation Requirements

Family history, genetic testing results, and counseling notes.

Common Clinical Scenarios

Families seeking genetic counseling after a diagnosis.

Billing Considerations

Documentation of inheritance patterns and implications for family members.

Coding Guidelines

Inclusion Criteria

Use E71.313 When
  • Follow ICD
  • CM guidelines for coding metabolic disorders
  • Ensure accurate documentation of the condition's clinical manifestations and any relevant laboratory findings
  • Include any associated conditions that may affect treatment

Exclusion Criteria

Do NOT use E71.313 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

81200CPT Code

Genetic testing for glutaric aciduria

Clinical Scenario

Used when confirming a diagnosis of GA II through genetic analysis.

Documentation Requirements

Include patient consent and family history.

Specialty Considerations

Genetic specialists should document findings thoroughly.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of metabolic disorders, improving the accuracy of diagnoses and treatment tracking for conditions like GA II.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of metabolic disorders, improving the accuracy of diagnoses and treatment tracking for conditions like GA II.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of metabolic disorders, improving the accuracy of diagnoses and treatment tracking for conditions like GA II.

Resources

Clinical References

  • •
    National Organization for Rare Disorders (NORD)

Coding & Billing References

  • •
    National Organization for Rare Disorders (NORD)

Frequently Asked Questions

What are the common symptoms of Glutaric aciduria type II?

Common symptoms include metabolic acidosis, hypoglycemia, muscle weakness, seizures, and developmental delays.