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v1.0.0
ICD-10 Guide
ICD-10 CodesG71.22

G71.22

Billable

Centronuclear myopathy

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

Code Description

ICD-10 G71.22 is a billable code used to indicate a diagnosis of centronuclear myopathy.

Key Diagnostic Point:

Centronuclear myopathy (CNM) is a rare genetic muscle disorder characterized by muscle weakness and hypotonia due to the abnormal distribution of nuclei in muscle fibers. It is primarily caused by mutations in genes such as MTM1, DNM2, and others, leading to impaired muscle function. Patients typically present with muscle weakness that may affect proximal muscles more than distal ones, resulting in difficulties with activities such as climbing stairs or lifting objects. The condition can manifest at any age, but symptoms often appear in infancy or early childhood. CNM is classified under myopathies, which are disorders affecting muscle tissue, and can be associated with other neuromuscular junction disorders, such as myasthenia gravis, where the communication between nerves and muscles is disrupted. Diagnosis is usually confirmed through genetic testing, muscle biopsy, and clinical evaluation. Management focuses on supportive care, physical therapy, and addressing specific symptoms, as there is currently no cure for the condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation among patients
  • Need for genetic testing to confirm diagnosis
  • Differentiation from other myopathies and neuromuscular disorders
  • Documentation of muscle biopsy findings

Audit Risk Factors

  • Inadequate documentation of genetic testing results
  • Failure to specify the type of centronuclear myopathy
  • Misclassification with other myopathies or muscular dystrophies
  • Lack of detailed clinical notes on muscle weakness

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with unexplained muscle weakness, hypotonia in infants, or progressive muscle weakness in older children.

Billing Considerations

Ensure clear documentation of muscle strength testing and any associated neurological symptoms.

Genetics

Documentation Requirements

Genetic testing results, family history of neuromuscular disorders, and detailed patient history.

Common Clinical Scenarios

Patients with a family history of muscle disorders or those presenting with symptoms suggestive of genetic myopathy.

Billing Considerations

Accurate documentation of genetic mutations and their implications for treatment and prognosis.

Coding Guidelines

Inclusion Criteria

Use G71.22 When
  • According to ICD
  • 10 guidelines, G71
  • 22 should be used when centronuclear myopathy is confirmed through clinical evaluation and genetic testing
  • It is important to document the specific type of myopathy and any associated conditions to ensure accurate coding

Exclusion Criteria

Do NOT use G71.22 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

81406CPT Code

Genetic testing for myopathy

Clinical Scenario

Used when genetic testing is performed to confirm a diagnosis of centronuclear myopathy.

Documentation Requirements

Documentation of clinical indications for testing and results.

Specialty Considerations

Neurology and genetics specialists should ensure that the rationale for testing is clearly documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of centronuclear myopathy, improving the accuracy of data collection and reimbursement processes. It has also facilitated better tracking of rare conditions like CNM.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of centronuclear myopathy, improving the accuracy of data collection and reimbursement processes. It has also facilitated better tracking of rare conditions like CNM.

Reimbursement & Billing Impact

reimbursement processes. It has also facilitated better tracking of rare conditions like CNM.

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 centronuclear myopathy?

Centronuclear myopathy is a rare genetic muscle disorder characterized by muscle weakness and hypotonia due to abnormal nuclear distribution in muscle fibers.

How is centronuclear myopathy diagnosed?

Diagnosis is made through clinical evaluation, muscle biopsy, and genetic testing to identify specific mutations associated with the condition.