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v1.0.0
ICD-10 Guide
ICD-10 CodesG11.0

G11.0

Billable

Congenital nonprogressive ataxia

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

Code Description

ICD-10 G11.0 is a billable code used to indicate a diagnosis of congenital nonprogressive ataxia.

Key Diagnostic Point:

Congenital nonprogressive ataxia refers to a group of hereditary conditions characterized by a lack of coordination and balance due to dysfunction in the cerebellum or its pathways. Unlike progressive ataxias, which worsen over time, congenital nonprogressive ataxia remains stable throughout the individual's life. This condition can arise from various genetic mutations affecting the development of the nervous system. Patients may present with symptoms such as unsteady gait, difficulty with fine motor skills, and potential speech difficulties. The ataxia may be associated with other neurological deficits, depending on the underlying genetic cause. Common hereditary forms include ataxia-telangiectasia and spinocerebellar ataxias. Diagnosis typically involves a combination of clinical evaluation, family history, and genetic testing to identify specific mutations. Management focuses on supportive therapies, including physical therapy and occupational therapy, to enhance functional abilities and quality of life.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of genetic causes leading to similar symptoms
  • Need for comprehensive family history and genetic testing
  • Differentiation from progressive ataxias and other neurological disorders
  • Potential overlap with other hereditary conditions

Audit Risk Factors

  • Inadequate documentation of genetic testing results
  • Failure to specify the nonprogressive nature of ataxia
  • Misclassification with progressive ataxias
  • Lack of detailed family history

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, family history of ataxia, and results from genetic testing.

Common Clinical Scenarios

Patients presenting with unsteady gait, coordination issues, and developmental delays.

Billing Considerations

Ensure clear documentation of the nonprogressive nature and any associated conditions.

Genetics

Documentation Requirements

Genetic test results, family pedigree, and detailed clinical history.

Common Clinical Scenarios

Evaluation of patients with a family history of ataxia or related neurological disorders.

Billing Considerations

Accurate coding requires clear identification of the specific genetic mutation involved.

Coding Guidelines

Inclusion Criteria

Use G11.0 When
  • Follow official ICD
  • 10 guidelines for coding congenital conditions
  • Ensure documentation supports the diagnosis of nonprogressive ataxia and includes any relevant genetic testing results

Exclusion Criteria

Do NOT use G11.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

96116CPT Code

Neuropsychological testing

Clinical Scenario

Used to assess cognitive function in patients with ataxia.

Documentation Requirements

Document the rationale for testing and results.

Specialty Considerations

Neurologists should ensure comprehensive documentation of cognitive assessments.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more precise coding of congenital nonprogressive ataxia, facilitating better tracking of hereditary conditions and improving patient management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more precise coding of congenital nonprogressive ataxia, facilitating better tracking of hereditary conditions and improving patient management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more precise coding of congenital nonprogressive ataxia, facilitating better tracking of hereditary conditions and improving patient management.

Resources

Clinical References

  • •
    National Ataxia Foundation

Coding & Billing References

  • •
    National Ataxia Foundation

Frequently Asked Questions

What is the difference between congenital nonprogressive ataxia and progressive ataxia?

Congenital nonprogressive ataxia remains stable throughout life, while progressive ataxia worsens over time due to ongoing degeneration of the nervous system.