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v1.0.0
ICD-10 Guide
ICD-10 CodesE74.03

E74.03

Billable

Cori disease

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

Code Description

ICD-10 E74.03 is a billable code used to indicate a diagnosis of cori disease.

Key Diagnostic Point:

Cori disease, also known as Glycogen Storage Disease Type III, is a rare inherited metabolic disorder caused by a deficiency of the enzyme debranching enzyme (AGL). This enzyme is crucial for the proper metabolism of glycogen, which is the stored form of glucose in the body. In individuals with Cori disease, the inability to properly break down glycogen leads to the accumulation of abnormal glycogen structures, resulting in various clinical manifestations. Symptoms typically include muscle weakness, exercise intolerance, hypoglycemia, and hepatomegaly. The disease can present in infancy or later in childhood, and its severity can vary widely among affected individuals. Diagnosis is often confirmed through enzyme assays, genetic testing, and liver biopsy. Management focuses on dietary modifications, including a high-protein diet and frequent meals to maintain blood glucose levels. Regular monitoring and supportive care are essential to manage symptoms and prevent complications associated with the disease.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of metabolic pathways and enzyme functions.
  • Differentiation from other glycogen storage diseases.
  • Need for precise documentation of symptoms and genetic testing.
  • Potential for multiple manifestations requiring comprehensive coding.

Audit Risk Factors

  • Inadequate documentation of enzyme deficiency.
  • Failure to specify the severity of symptoms.
  • Misclassification with other glycogen storage diseases.
  • Lack of genetic testing documentation.

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed family history, symptom onset, and growth parameters.

Common Clinical Scenarios

Diagnosis in infants presenting with hypoglycemia and hepatomegaly.

Billing Considerations

Consideration of developmental milestones and nutritional needs.

Genetics

Documentation Requirements

Genetic testing results and family pedigree.

Common Clinical Scenarios

Counseling families with a history of glycogen storage diseases.

Billing Considerations

Importance of documenting genetic counseling sessions.

Coding Guidelines

Inclusion Criteria

Use E74.03 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the condition's clinical manifestations and any associated complications
  • Include relevant family history and genetic testing results when applicable

Exclusion Criteria

Do NOT use E74.03 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

81200CPT Code

Genetic testing for glycogen storage disease

Clinical Scenario

Used when confirming diagnosis through genetic testing.

Documentation Requirements

Document the reason for testing and results.

Specialty Considerations

Genetic counseling may be necessary.

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, including Cori disease, enabling better tracking of these rare conditions and their management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of metabolic disorders, including Cori disease, enabling better tracking of these rare conditions and their management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of metabolic disorders, including Cori disease, enabling better tracking of these rare conditions and their management.

Resources

Clinical References

  • •
    National Organization for Rare Disorders (NORD)

Coding & Billing References

  • •
    National Organization for Rare Disorders (NORD)

Frequently Asked Questions

What is the primary cause of Cori disease?

Cori disease is primarily caused by a deficiency of the debranching enzyme, which is essential for the proper metabolism of glycogen.