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v1.0.0
ICD-10 Guide
ICD-10 CodesG71.3

G71.3

Billable

Mitochondrial myopathy, not elsewhere classified

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

Code Description

ICD-10 G71.3 is a billable code used to indicate a diagnosis of mitochondrial myopathy, not elsewhere classified.

Key Diagnostic Point:

Mitochondrial myopathy refers to a group of neuromuscular disorders caused by dysfunction of the mitochondria, the energy-producing structures within cells. These myopathies can lead to muscle weakness, exercise intolerance, and a variety of systemic symptoms due to the impaired energy metabolism. Patients may present with muscle pain, cramps, and progressive weakness, often affecting proximal muscles. The condition is not classified elsewhere, indicating that it does not fit neatly into other specific categories of mitochondrial diseases or myopathies. Diagnosis typically involves clinical evaluation, muscle biopsy, and genetic testing to identify mitochondrial DNA mutations. Mitochondrial myopathy can be associated with other systemic manifestations, including neurological deficits, cardiomyopathy, and endocrine disorders. The complexity of this condition arises from its heterogeneous presentation and the overlap with other neuromuscular disorders, such as muscular dystrophies and myasthenia gravis, necessitating careful differential diagnosis.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Heterogeneous clinical presentation
  • Overlap with other neuromuscular disorders
  • Need for genetic testing and muscle biopsy for diagnosis
  • Variability in symptoms and severity among patients

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to document genetic testing results
  • Misclassification with other myopathies
  • Lack of detailed patient history regarding symptoms

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, including muscle strength and reflexes.

Common Clinical Scenarios

Patients presenting with unexplained muscle weakness, fatigue, or exercise intolerance.

Billing Considerations

Ensure documentation includes family history of mitochondrial disorders and any relevant genetic testing.

Genetics

Documentation Requirements

Genetic testing results, family pedigree, and detailed clinical history.

Common Clinical Scenarios

Patients with suspected mitochondrial disorders requiring genetic counseling and testing.

Billing Considerations

Document the rationale for genetic testing and any findings that support the diagnosis.

Coding Guidelines

Inclusion Criteria

Use G71.3 When
  • According to ICD
  • 10 guidelines, G71
  • 3 should be used when the condition is confirmed and not classified under other specific myopathies
  • Documentation must support the diagnosis, including clinical findings and any relevant tests

Exclusion Criteria

Do NOT use G71.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

81406CPT Code

Mitochondrial DNA analysis

Clinical Scenario

Used for confirming mitochondrial myopathy diagnosis.

Documentation Requirements

Document the reason for testing and results.

Specialty Considerations

Genetic counseling may be necessary.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of mitochondrial myopathies, improving the accuracy of data collection and reimbursement processes. G71.3 provides a distinct code for cases not classified elsewhere, enhancing clarity in clinical documentation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of mitochondrial myopathies, improving the accuracy of data collection and reimbursement processes. G71.3 provides a distinct code for cases not classified elsewhere, enhancing clarity in clinical documentation.

Reimbursement & Billing Impact

reimbursement processes. G71.3 provides a distinct code for cases not classified elsewhere, enhancing clarity in clinical documentation.

Resources

Clinical References

  • •
    Mitochondrial Myopathy Overview

Coding & Billing References

  • •
    Mitochondrial Myopathy Overview

Frequently Asked Questions

What are the common symptoms of mitochondrial myopathy?

Common symptoms include muscle weakness, exercise intolerance, muscle pain, and systemic issues such as neurological deficits and cardiomyopathy.

How is mitochondrial myopathy diagnosed?

Diagnosis typically involves clinical evaluation, muscle biopsy, and genetic testing to identify mitochondrial DNA mutations.

What distinguishes G71.3 from other myopathy codes?

G71.3 is specifically for mitochondrial myopathy not classified elsewhere, requiring careful documentation to differentiate from other myopathies.