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v1.0.0
ICD-10 Guide
ICD-10 CodesG71.0341

G71.0341

Billable

Limb girdle muscular dystrophy due to alpha sarcoglycan dysfunction

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

Code Description

ICD-10 G71.0341 is a billable code used to indicate a diagnosis of limb girdle muscular dystrophy due to alpha sarcoglycan dysfunction.

Key Diagnostic Point:

Limb girdle muscular dystrophy (LGMD) due to alpha 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 the SGCA gene, which encodes the alpha-sarcoglycan protein, essential for muscle cell membrane stability. Patients typically present with muscle weakness that may begin in childhood or adolescence, often accompanied by muscle cramps and pseudohypertrophy. Diagnosis is confirmed through genetic testing and muscle biopsy, which may show dystrophic changes. The progression of the disease varies, with some individuals maintaining ambulation into adulthood while others may require mobility aids. Management focuses on physical therapy, supportive care, and monitoring for respiratory and cardiac complications, which are common in advanced stages of the disease.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

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

Audit Risk Factors

  • Inadequate documentation of genetic testing results
  • Failure to document the progression of symptoms
  • Misalignment between clinical findings and coded diagnosis
  • Lack of multidisciplinary care notes

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, genetic testing results, and treatment plans.

Common Clinical Scenarios

Diagnosis confirmation, management of symptoms, and coordination with physical therapy.

Billing Considerations

Ensure comprehensive documentation of neurological deficits and muscle strength assessments.

Genetics

Documentation Requirements

Genetic testing results, family history, and counseling notes.

Common Clinical Scenarios

Genetic counseling for affected families and interpretation of genetic tests.

Billing Considerations

Document the implications of genetic findings for family members and potential future pregnancies.

Coding Guidelines

Inclusion Criteria

Use G71.0341 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the condition's genetic basis and clinical manifestations
  • Include any relevant co
  • morbidities and ensure that the diagnosis aligns with the clinical documentation

Exclusion Criteria

Do NOT use G71.0341 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

81401CPT Code

Genetic testing for sarcoglycanopathies

Clinical Scenario

Used when genetic testing is performed to confirm alpha sarcoglycan dysfunction.

Documentation Requirements

Document the reason for testing, results, and any counseling provided.

Specialty Considerations

Ensure that genetic counseling notes are included in the patient's record.

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, including G71.0341, which improves the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of muscular dystrophies, including G71.0341, which improves the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    Muscular Dystrophy Association

Coding & Billing References

  • •
    Muscular Dystrophy Association

Frequently Asked Questions

What is the primary cause of limb girdle muscular dystrophy due to alpha sarcoglycan dysfunction?

The primary cause is mutations in the SGCA gene, which leads to a deficiency of the alpha-sarcoglycan protein, crucial for muscle cell membrane stability.