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ICD-10 Guide
ICD-10 CodesG71.032

G71.032

Billable

Autosomal recessive limb girdle muscular dystrophy due to calpain-3 dysfunction

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

Code Description

ICD-10 G71.032 is a billable code used to indicate a diagnosis of autosomal recessive limb girdle muscular dystrophy due to calpain-3 dysfunction.

Key Diagnostic Point:

Autosomal recessive limb girdle muscular dystrophy (LGMD) due to calpain-3 dysfunction 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 the CAPN3 gene, which encodes the calpain-3 protein, essential for muscle function and repair. Patients typically present in childhood or early adulthood with symptoms such as difficulty climbing stairs, lifting objects, and performing overhead activities. Muscle biopsy may reveal dystrophic changes, and genetic testing can confirm the diagnosis. The condition is inherited in an autosomal recessive pattern, meaning that both copies of the gene in each cell have mutations. Management focuses on physical therapy, supportive care, and monitoring for complications, as there is currently no cure for the condition. Early diagnosis and intervention can help improve quality of life and maintain mobility for as long as possible.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of genetic inheritance patterns.
  • Differentiation from other types of muscular dystrophies.
  • Need for precise documentation of clinical findings.
  • Potential for co-morbid conditions affecting coding.

Audit Risk Factors

  • Inadequate documentation of genetic testing results.
  • Failure to specify the type of muscular dystrophy.
  • Misclassification of the condition as a different muscular dystrophy.
  • Lack of detailed clinical notes on muscle function.

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, including muscle strength and reflexes.

Common Clinical Scenarios

Patients presenting with muscle weakness and family history of muscular dystrophy.

Billing Considerations

Ensure genetic testing results are included in the documentation.

Genetics

Documentation Requirements

Genetic test results, family history, and inheritance patterns.

Common Clinical Scenarios

Counseling families with a history of LGMD and discussing genetic testing options.

Billing Considerations

Documentation must clearly outline the genetic basis of the condition.

Coding Guidelines

Inclusion Criteria

Use G71.032 When
  • According to ICD
  • 10 guidelines, G71
  • 032 should be used when the diagnosis is confirmed through genetic testing or clinical evaluation
  • It is important to document the specific type of muscular dystrophy and any associated symptoms or complications

Exclusion Criteria

Do NOT use G71.032 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

81406CPT Code

Genetic testing for calpain-3 mutations

Clinical Scenario

Used when confirming diagnosis of LGMD due to calpain-3 dysfunction.

Documentation Requirements

Documentation of clinical suspicion and family history.

Specialty Considerations

Neurology and genetics specialists should collaborate on documentation.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 allows for more specific coding of genetic conditions like G71.032, improving the accuracy of patient records and facilitating better management of care.

ICD-9 vs ICD-10

The transition to ICD-10 allows for more specific coding of genetic conditions like G71.032, improving the accuracy of patient records and facilitating better management of care.

Reimbursement & Billing Impact

The transition to ICD-10 allows for more specific coding of genetic conditions like G71.032, improving the accuracy of patient records and facilitating better management of care.

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 significance of calpain-3 in muscular dystrophy?

Calpain-3 is crucial for muscle repair and function; its dysfunction leads to progressive muscle weakness characteristic of LGMD.