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ICD-10 Guide
ICD-10 CodesG13.8

G13.8

Billable

Systemic atrophy primarily affecting central nervous system in other diseases classified elsewhere

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

Code Description

ICD-10 G13.8 is a billable code used to indicate a diagnosis of systemic atrophy primarily affecting central nervous system in other diseases classified elsewhere.

Key Diagnostic Point:

G13.8 refers to systemic atrophy of the central nervous system that occurs as a consequence of various hereditary and degenerative diseases not specifically classified elsewhere. This includes conditions such as Huntington's disease, various forms of ataxia, and motor neuron diseases. These disorders are characterized by progressive degeneration of neurons, leading to significant neurological deficits. Huntington's disease, for instance, is a genetic disorder that causes the progressive breakdown of nerve cells in the brain, resulting in movement disorders, cognitive decline, and psychiatric symptoms. Ataxias, which can be hereditary or acquired, lead to coordination and balance issues due to cerebellar degeneration. Motor neuron diseases, such as amyotrophic lateral sclerosis (ALS), result in the degeneration of motor neurons, leading to muscle weakness and atrophy. The clinical presentation of G13.8 can vary widely depending on the underlying disease, but it generally involves a combination of motor, cognitive, and behavioral symptoms, necessitating a multidisciplinary approach for management and care.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Variety of underlying conditions leading to similar symptoms
  • Need for precise documentation of the underlying disease
  • Potential for overlapping symptoms with other neurological disorders
  • Variability in clinical presentation and progression

Audit Risk Factors

  • Inadequate documentation of the underlying disease
  • Misclassification of symptoms as primary conditions
  • Failure to document family history in hereditary cases
  • Inconsistent use of terminology across clinical notes

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Comprehensive neurological assessments, including imaging and genetic testing results.

Common Clinical Scenarios

Diagnosis and management of patients with hereditary ataxias or motor neuron diseases.

Billing Considerations

Ensure detailed documentation of neurological deficits and progression over time.

Genetics

Documentation Requirements

Family history, genetic testing results, and counseling notes.

Common Clinical Scenarios

Evaluation of patients with suspected hereditary neurological disorders.

Billing Considerations

Documenting the inheritance pattern and implications for family members.

Coding Guidelines

Inclusion Criteria

Use G13.8 When
  • According to ICD
  • 10 coding guidelines, G13
  • 8 should be used when systemic atrophy of the central nervous system is documented as a result of other diseases classified elsewhere
  • Coders must ensure that the underlying condition is clearly documented and that G13
  • 8 is not used as a primary diagnosis unless it is the main focus of treatment

Exclusion Criteria

Do NOT use G13.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99214CPT Code

Established patient office visit, level 4

Clinical Scenario

Used for follow-up visits for patients with systemic atrophy due to underlying neurological conditions.

Documentation Requirements

Detailed history and examination notes, including assessment of neurological deficits.

Specialty Considerations

Neurologists should document the progression of symptoms and any changes in treatment plans.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of systemic atrophy related to various underlying conditions, improving the accuracy of diagnoses and treatment tracking. G13.8 provides a mechanism for capturing complex cases that may have previously been coded under more general terms.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of systemic atrophy related to various underlying conditions, improving the accuracy of diagnoses and treatment tracking. G13.8 provides a mechanism for capturing complex cases that may have previously been coded under more general terms.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of systemic atrophy related to various underlying conditions, improving the accuracy of diagnoses and treatment tracking. G13.8 provides a mechanism for capturing complex cases that may have previously been coded under more general terms.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

When should G13.8 be used?

G13.8 should be used when systemic atrophy of the central nervous system is documented as a result of other diseases classified elsewhere, and the underlying condition is clearly identified.