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v1.0.0
ICD-10 Guide
ICD-10 CodesE71.440

E71.440

Billable

Ruvalcaba-Myhre-Smith syndrome

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

Code Description

ICD-10 E71.440 is a billable code used to indicate a diagnosis of ruvalcaba-myhre-smith syndrome.

Key Diagnostic Point:

Ruvalcaba-Myhre-Smith syndrome is a rare genetic metabolic disorder characterized by a combination of developmental delays, intellectual disability, and distinctive facial features. This condition is caused by mutations in the GPR37 gene, which plays a crucial role in the regulation of various metabolic processes. Patients often present with hypotonia, seizures, and growth retardation. The syndrome may also involve skeletal abnormalities and other systemic manifestations. Diagnosis is typically made through clinical evaluation and genetic testing to identify specific mutations. Management of Ruvalcaba-Myhre-Smith syndrome is multidisciplinary, focusing on supportive care, developmental therapies, and addressing specific symptoms as they arise. Due to its rarity, awareness among healthcare providers is essential for timely diagnosis and intervention.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Rarity of the condition leading to limited familiarity among coders
  • Need for precise genetic testing documentation
  • Variability in clinical presentation complicating coding
  • Potential for co-morbid conditions requiring additional coding

Audit Risk Factors

  • Insufficient documentation of genetic testing results
  • Inconsistent clinical notes regarding symptoms
  • Failure to document multidisciplinary care approaches
  • Misclassification of the syndrome with more common disorders

Specialty Focus

Medical Specialties

Genetics

Documentation Requirements

Detailed family history and genetic testing results must be documented.

Common Clinical Scenarios

Genetic counseling sessions for affected families and follow-up appointments for management.

Billing Considerations

Ensure that genetic testing results are clearly linked to the diagnosis in documentation.

Pediatrics

Documentation Requirements

Comprehensive developmental assessments and growth charts should be maintained.

Common Clinical Scenarios

Routine check-ups for developmental milestones and management of associated symptoms.

Billing Considerations

Document any referrals to specialists for co-morbid conditions.

Coding Guidelines

Inclusion Criteria

Use E71.440 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the condition's clinical features and any associated genetic testing
  • Include any relevant co
  • morbidities that may impact treatment

Exclusion Criteria

Do NOT use E71.440 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

81229CPT Code

Genetic testing for GPR37 mutations

Clinical Scenario

Used when confirming a diagnosis of Ruvalcaba-Myhre-Smith syndrome.

Documentation Requirements

Documentation of clinical indications for genetic testing and results.

Specialty Considerations

Genetic specialists should ensure that the rationale for testing is clearly documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of rare genetic conditions like Ruvalcaba-Myhre-Smith syndrome, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of rare genetic conditions like Ruvalcaba-Myhre-Smith syndrome, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    National Organization for Rare Disorders (NORD)

Coding & Billing References

  • •
    National Organization for Rare Disorders (NORD)

Frequently Asked Questions

What is Ruvalcaba-Myhre-Smith syndrome?

Ruvalcaba-Myhre-Smith syndrome is a rare genetic metabolic disorder characterized by developmental delays, intellectual disability, and distinctive facial features, caused by mutations in the GPR37 gene.

How is Ruvalcaba-Myhre-Smith syndrome diagnosed?

Diagnosis is made through clinical evaluation and genetic testing to identify mutations in the GPR37 gene.

What are the common symptoms of Ruvalcaba-Myhre-Smith syndrome?

Common symptoms include developmental delays, hypotonia, seizures, and growth retardation.

What is the management approach for Ruvalcaba-Myhre-Smith syndrome?

Management is multidisciplinary, focusing on supportive care, developmental therapies, and addressing specific symptoms as they arise.