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ICD-10 Guide
ICD-10 CodesG12.24

G12.24

Billable

Familial motor neuron disease

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

Code Description

ICD-10 G12.24 is a billable code used to indicate a diagnosis of familial motor neuron disease.

Key Diagnostic Point:

Familial motor neuron disease encompasses a group of hereditary conditions characterized by the degeneration of motor neurons in the spinal cord and brain, leading to progressive muscle weakness and atrophy. These diseases are often inherited in an autosomal dominant or recessive pattern, with genetic mutations playing a crucial role in their pathogenesis. The most common form is familial amyotrophic lateral sclerosis (ALS), which typically presents in adulthood and is marked by both upper and lower motor neuron involvement. Patients may experience symptoms such as muscle cramps, stiffness, and difficulty with speech and swallowing. The progression of the disease can vary significantly among individuals, with some experiencing rapid decline while others may have a more protracted course. Diagnosis is primarily clinical, supported by electromyography (EMG) and genetic testing to identify specific mutations associated with familial forms of motor neuron disease. Understanding the hereditary nature of these conditions is essential for genetic counseling and management of affected families.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation among patients
  • Need for genetic testing and interpretation of results
  • Differentiation from sporadic forms of motor neuron disease
  • Potential for co-morbid conditions affecting coding

Audit Risk Factors

  • Inadequate documentation of family history
  • Failure to include genetic testing results
  • Misclassification of sporadic vs. familial cases
  • Lack of detailed clinical notes on symptom progression

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Comprehensive neurological examination findings, family history, and results of EMG and genetic tests.

Common Clinical Scenarios

Diagnosis of familial ALS, management of symptoms, and genetic counseling for affected families.

Billing Considerations

Neurologists should ensure thorough documentation of motor function assessments and any referrals for genetic testing.

Genetics

Documentation Requirements

Detailed family pedigree, genetic test results, and counseling notes.

Common Clinical Scenarios

Assessment of family members for hereditary motor neuron diseases and interpretation of genetic tests.

Billing Considerations

Geneticists must document the implications of genetic findings for family members and potential screening recommendations.

Coding Guidelines

Inclusion Criteria

Use G12.24 When
  • According to ICD
  • 10 guidelines, G12
  • 24 should be used when familial motor neuron disease is confirmed through clinical evaluation and genetic testing
  • It is important to document the hereditary nature of the condition and any relevant family history

Exclusion Criteria

Do NOT use G12.24 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

95860CPT Code

Electromyography, needle

Clinical Scenario

Used to assess motor neuron function in patients suspected of having familial motor neuron disease.

Documentation Requirements

Results of the EMG must be documented, including findings of denervation or reinnervation.

Specialty Considerations

Neurologists should correlate EMG findings with clinical symptoms for accurate diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of familial motor neuron diseases, improving the accuracy of data collection and facilitating better patient management through targeted therapies and genetic counseling.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of familial motor neuron diseases, improving the accuracy of data collection and facilitating better patient management through targeted therapies and genetic counseling.

Reimbursement & Billing Impact

reimbursement and to avoid audits.

Resources

Clinical References

  • •
    National Institute of Neurological Disorders and Stroke

Coding & Billing References

  • •
    National Institute of Neurological Disorders and Stroke

Frequently Asked Questions

What is the difference between familial and sporadic motor neuron disease?

Familial motor neuron disease is inherited and often linked to specific genetic mutations, while sporadic motor neuron disease occurs without a known family history or genetic predisposition.