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v1.0.0
ICD-10 Guide
ICD-10 CodesG71.0

G71.0

Billable

Muscular dystrophy

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

Code Description

ICD-10 G71.0 is a billable code used to indicate a diagnosis of muscular dystrophy.

Key Diagnostic Point:

Muscular dystrophy (MD) refers to a group of inherited disorders characterized by progressive muscle weakness and degeneration. The condition is caused by mutations in genes responsible for the structure and function of muscle fibers. The most common form, Duchenne muscular dystrophy (DMD), primarily affects boys and manifests in early childhood with symptoms such as difficulty walking, muscle wasting, and eventual loss of ambulation. Other forms include Becker muscular dystrophy, myotonic dystrophy, and limb-girdle muscular dystrophy, each with varying degrees of severity and age of onset. Diagnosis typically involves clinical evaluation, genetic testing, and muscle biopsy. Management focuses on maintaining mobility and function, with interventions such as physical therapy, orthopedic devices, and, in some cases, corticosteroids to slow progression. Understanding the specific type of muscular dystrophy is crucial for appropriate treatment and coding, as each subtype may have unique implications for patient care and resource utilization.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of muscular dystrophy types requiring specific documentation
  • Need for genetic testing results for accurate coding
  • Differentiation from other neuromuscular disorders
  • Potential for comorbid conditions affecting coding

Audit Risk Factors

  • Inadequate documentation of specific muscular dystrophy type
  • Failure to include genetic testing results
  • Misdiagnosis or coding of similar neuromuscular disorders
  • Lack of comprehensive treatment plans in documentation

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed clinical history, neurological examination findings, and results of genetic testing.

Common Clinical Scenarios

Diagnosis of muscular dystrophy in pediatric patients, management of symptoms in adults.

Billing Considerations

Documentation must clearly differentiate between types of muscular dystrophy and related neuromuscular disorders.

Genetics

Documentation Requirements

Genetic test results, family history, and inheritance patterns.

Common Clinical Scenarios

Counseling families about genetic risks and implications of muscular dystrophy.

Billing Considerations

Accurate coding requires understanding of genetic mutations associated with specific dystrophies.

Coding Guidelines

Inclusion Criteria

Use G71.0 When
  • According to ICD
  • 10 guidelines, G71
  • 0 is used for muscular dystrophy without further specification
  • Coders must ensure that the documentation supports the diagnosis and includes any relevant genetic information

Exclusion Criteria

Do NOT use G71.0 When
  • Exclusion criteria include conditions that are not classified as muscular dystrophies

Related ICD-10 Codes

Related CPT Codes

99214CPT Code

Office or other outpatient visit, established patient

Clinical Scenario

Used for follow-up visits for muscular dystrophy management.

Documentation Requirements

Document history of present illness, review of systems, and treatment plan.

Specialty Considerations

Neurology specialists should ensure comprehensive neurological assessments are included.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of muscular dystrophies, improving the accuracy of data collection and reimbursement processes. Coders must be familiar with the nuances of each subtype to ensure proper coding and billing.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of muscular dystrophies, improving the accuracy of data collection and reimbursement processes. Coders must be familiar with the nuances of each subtype to ensure proper coding and billing.

Reimbursement & Billing Impact

reimbursement processes. Coders must be familiar with the nuances of each subtype to ensure proper coding and billing.

Resources

Clinical References

  • •
    Muscular Dystrophy Association

Coding & Billing References

  • •
    Muscular Dystrophy Association

Frequently Asked Questions

What is the difference between muscular dystrophy and myopathy?

Muscular dystrophy is a specific group of inherited disorders characterized by progressive muscle degeneration, while myopathy is a broader term that refers to any disease of muscle tissue, including acquired conditions.