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ICD-10 Guide
ICD-10 CodesG71.031

G71.031

Billable

Autosomal dominant limb girdle muscular dystrophy

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

Code Description

ICD-10 G71.031 is a billable code used to indicate a diagnosis of autosomal dominant limb girdle muscular dystrophy.

Key Diagnostic Point:

Autosomal dominant limb girdle muscular dystrophy (LGMD) is a genetic disorder characterized by progressive weakness and wasting of the proximal muscles, particularly those around the hips and shoulders. This condition is caused by mutations in genes that are responsible for muscle function and integrity. Patients typically present with muscle weakness that may begin in childhood or early adulthood, leading to difficulties in activities such as climbing stairs, lifting objects, and maintaining posture. The condition is inherited in an autosomal dominant pattern, meaning that only one copy of the mutated gene from an affected parent can cause the disorder in offspring. Diagnosis is often confirmed through genetic testing, muscle biopsy, and clinical evaluation. The severity and progression of symptoms can vary widely among individuals, and while there is currently no cure, management strategies focus on physical therapy, occupational therapy, and supportive care to maintain mobility and function.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Genetic testing documentation requirements
  • Variability in symptom presentation
  • Need for multidisciplinary approach in management
  • Potential for misdiagnosis with other muscular dystrophies

Audit Risk Factors

  • Inadequate documentation of genetic testing results
  • Failure to document family history of muscular dystrophy
  • Misclassification of the type of muscular dystrophy
  • Lack of detailed clinical notes on symptom progression

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with muscle weakness, difficulty walking, or family history of muscular dystrophy.

Billing Considerations

Ensure comprehensive documentation of neurological assessments and any referrals to genetic counseling.

Genetics

Documentation Requirements

Results of genetic testing, family pedigree charts, and clinical evaluations.

Common Clinical Scenarios

Patients undergoing genetic testing for suspected muscular dystrophies.

Billing Considerations

Accurate documentation of genetic mutations and their implications for family members.

Coding Guidelines

Inclusion Criteria

Use G71.031 When
  • According to ICD
  • 10 guidelines, G71
  • 031 should be used when the condition is confirmed through genetic testing or clinical evaluation
  • It is important to document the specific symptoms and progression of the disease

Exclusion Criteria

Do NOT use G71.031 When
  • Exclusion criteria include other forms of muscular dystrophy that do not fit the autosomal dominant pattern

Related ICD-10 Codes

Related CPT Codes

81406CPT Code

Genetic testing for muscular dystrophy

Clinical Scenario

Used when genetic testing is performed to confirm diagnosis.

Documentation Requirements

Results of genetic tests and clinical correlation.

Specialty Considerations

Ensure that the testing is relevant to the clinical diagnosis.

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 diagnoses and treatment plans. G71.031 provides a clear distinction for autosomal dominant forms, which aids in research and management strategies.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of muscular dystrophies, improving the accuracy of diagnoses and treatment plans. G71.031 provides a clear distinction for autosomal dominant forms, which aids in research and management strategies.

Reimbursement & Billing Impact

reimbursement and to avoid audits.

Resources

Clinical References

  • •
    Muscular Dystrophy Association

Coding & Billing References

  • •
    Muscular Dystrophy Association

Frequently Asked Questions

What is the significance of genetic testing in G71.031?

Genetic testing is crucial for confirming the diagnosis of autosomal dominant limb girdle muscular dystrophy and differentiating it from other types of muscular dystrophies.