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ICD-10 Guide
ICD-10 CodesG71.0340

G71.0340

Billable

Limb girdle muscular dystrophy due to sarcoglycan dysfunction, unspecified

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

Code Description

ICD-10 G71.0340 is a billable code used to indicate a diagnosis of limb girdle muscular dystrophy due to sarcoglycan dysfunction, unspecified.

Key Diagnostic Point:

Limb girdle muscular dystrophy (LGMD) due to sarcoglycan 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 genes responsible for the production of sarcoglycan proteins, which are essential for muscle fiber integrity. Patients typically present with muscle weakness that may begin in childhood or adulthood, often leading to difficulty with activities such as climbing stairs, lifting objects, or running. The condition is classified under muscular dystrophies, which are a group of inherited disorders that cause muscle weakness and degeneration. Diagnosis is often confirmed through genetic testing, muscle biopsy, and clinical evaluation. As the disease progresses, individuals may experience respiratory difficulties and cardiac complications, necessitating comprehensive management strategies. The unspecified nature of this code indicates that the specific type of sarcoglycan dysfunction has not been determined, which may complicate treatment and prognosis.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and progression of the disease.
  • Need for genetic testing to confirm diagnosis.
  • Differentiation from other types of muscular dystrophies.
  • Potential for co-existing neuromuscular junction disorders.

Audit Risk Factors

  • Inadequate documentation of genetic testing results.
  • Failure to specify the type of sarcoglycan dysfunction.
  • Misdiagnosis due to overlapping symptoms with other myopathies.
  • Lack of comprehensive clinical evaluation notes.

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, muscle strength assessments, and results from genetic testing.

Common Clinical Scenarios

Patients presenting with progressive muscle weakness, difficulty in mobility, and family history of muscular dystrophy.

Billing Considerations

Ensure that all relevant diagnostic tests are documented to support the diagnosis and coding.

Genetics

Documentation Requirements

Genetic test results, family history, and detailed patient history regarding muscle symptoms.

Common Clinical Scenarios

Patients referred for genetic counseling after a diagnosis of muscular dystrophy.

Billing Considerations

Documentation must clearly indicate the specific genetic mutations identified.

Coding Guidelines

Inclusion Criteria

Use G71.0340 When
  • According to ICD
  • 10 coding guidelines, G71
  • 0340 should be used when the specific type of sarcoglycan dysfunction is not specified
  • Coders should ensure that the diagnosis is supported by clinical documentation and that any related conditions are also coded appropriately

Exclusion Criteria

Do NOT use G71.0340 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

81401CPT Code

Genetic testing for muscular dystrophy

Clinical Scenario

Used when confirming a diagnosis of LGMD due to sarcoglycan dysfunction.

Documentation Requirements

Documentation of clinical symptoms and family history must be included.

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 has allowed for more specific coding of muscular dystrophies, improving the accuracy of diagnoses and treatment plans. G71.0340 provides a clear classification for limb girdle muscular dystrophy due to sarcoglycan dysfunction, which aids in research and treatment 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. G71.0340 provides a clear classification for limb girdle muscular dystrophy due to sarcoglycan dysfunction, which aids in research and treatment strategies.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of muscular dystrophies, improving the accuracy of diagnoses and treatment plans. G71.0340 provides a clear classification for limb girdle muscular dystrophy due to sarcoglycan dysfunction, which aids in research and treatment strategies.

Resources

Clinical References

  • •
    Muscular Dystrophy Association

Coding & Billing References

  • •
    Muscular Dystrophy Association

Frequently Asked Questions

What is the significance of the unspecified designation in G71.0340?

The unspecified designation indicates that the specific type of sarcoglycan dysfunction has not been identified, which may affect treatment options and prognosis.