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v1.0.0
ICD-10 Guide
ICD-10 CodesG71.035

G71.035

Billable

Limb girdle muscular dystrophy due to anoctamin-5 dysfunction

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

Code Description

ICD-10 G71.035 is a billable code used to indicate a diagnosis of limb girdle muscular dystrophy due to anoctamin-5 dysfunction.

Key Diagnostic Point:

Limb girdle muscular dystrophy (LGMD) due to anoctamin-5 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 ANO5 gene, which encodes the anoctamin-5 protein, essential for muscle function. Patients typically present with muscle weakness that may begin in childhood or early adulthood, often accompanied by muscle cramps and stiffness. Diagnosis is confirmed through genetic testing, muscle biopsy, and clinical evaluation. The condition is classified under muscular dystrophies, which are a group of inherited disorders that lead to muscle degeneration and weakness. Unlike myasthenia gravis, which affects the neuromuscular junction, LGMD due to anoctamin-5 dysfunction primarily involves muscle fibers themselves. Management focuses on physical therapy, supportive care, and monitoring for complications, as there is currently no cure for this condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Specific genetic testing required for diagnosis
  • Differentiation from other muscular dystrophies
  • Potential for overlapping symptoms with myopathies
  • Need for detailed documentation of muscle function

Audit Risk Factors

  • Inadequate documentation of genetic testing results
  • Failure to specify the type of muscular dystrophy
  • Misclassification with other neuromuscular disorders
  • Lack of comprehensive clinical evaluation notes

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, genetic testing results, and muscle biopsy reports.

Common Clinical Scenarios

Patients presenting with progressive muscle weakness, family history of muscular dystrophy, and abnormal electromyography results.

Billing Considerations

Ensure clear documentation of muscle strength testing and functional limitations.

Genetics

Documentation Requirements

Genetic counseling notes, family history assessments, and results of genetic testing.

Common Clinical Scenarios

Patients with suspected hereditary muscular dystrophies requiring genetic confirmation.

Billing Considerations

Document the specific mutations identified and their implications for treatment and family planning.

Coding Guidelines

Inclusion Criteria

Use G71.035 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the diagnosis, including genetic testing results and clinical findings
  • existing conditions are documented

Exclusion Criteria

Do NOT use G71.035 When
  • Exclude codes for other types of muscular dystrophies unless co

Related ICD-10 Codes

Related CPT Codes

81406CPT Code

Genetic testing for ANO5 mutations

Clinical Scenario

Used when confirming a diagnosis of limb girdle muscular dystrophy.

Documentation Requirements

Documentation of clinical suspicion and family history.

Specialty Considerations

Neurology and genetics specialists should ensure comprehensive 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, including G71.035, which improves data accuracy and enhances the ability to track and manage these conditions effectively.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of muscular dystrophies, including G71.035, which improves data accuracy and enhances the ability to track and manage these conditions effectively.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of muscular dystrophies, including G71.035, which improves data accuracy and enhances the ability to track and manage these conditions effectively.

Resources

Clinical References

  • •
    Muscular Dystrophy Association

Coding & Billing References

  • •
    Muscular Dystrophy Association

Frequently Asked Questions

What is the significance of the ANO5 gene in limb girdle muscular dystrophy?

The ANO5 gene is crucial for muscle function, and mutations in this gene lead to the specific form of limb girdle muscular dystrophy characterized by progressive muscle weakness.