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v1.0.0
ICD-10 Guide
ICD-10 CodesG72.2

G72.2

Billable

Myopathy due to other toxic agents

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

Code Description

ICD-10 G72.2 is a billable code used to indicate a diagnosis of myopathy due to other toxic agents.

Key Diagnostic Point:

Myopathy due to other toxic agents refers to muscle disorders that arise from exposure to various toxic substances, including drugs, heavy metals, and other environmental toxins. This condition can manifest as muscle weakness, pain, and atrophy, and may be associated with systemic symptoms depending on the nature of the toxin involved. Myopathy can be differentiated from other neuromuscular disorders such as myasthenia gravis, which is an autoimmune condition affecting neuromuscular transmission, and muscular dystrophies, which are genetic disorders characterized by progressive muscle degeneration. The diagnosis of myopathy due to toxic agents often requires a thorough patient history, including exposure to potential toxins, and may involve laboratory tests, imaging studies, and muscle biopsies to confirm the diagnosis and rule out other conditions. Treatment typically involves removing the source of toxicity, supportive care, and rehabilitation to improve muscle function.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential toxic agents leading to myopathy
  • Need for comprehensive patient history to identify exposure
  • Differentiation from other myopathies and neuromuscular disorders
  • Potential for overlapping symptoms with other conditions

Audit Risk Factors

  • Inadequate documentation of toxic exposure
  • Failure to differentiate from other myopathies
  • Lack of supporting lab or imaging results
  • Misuse of the code in cases of non-toxic myopathy

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed history of symptoms, exposure to toxins, and neurological examination findings.

Common Clinical Scenarios

Patients presenting with unexplained muscle weakness and a history of exposure to toxic substances.

Billing Considerations

Neurologists should ensure that all potential toxic exposures are documented to support the diagnosis.

Internal Medicine

Documentation Requirements

Comprehensive review of systems, toxicology screening results, and management plans.

Common Clinical Scenarios

Patients with systemic symptoms and muscle weakness after exposure to environmental toxins.

Billing Considerations

Internists should consider a multidisciplinary approach for management, including toxicology consultations.

Coding Guidelines

Inclusion Criteria

Use G72.2 When
  • According to ICD
  • 10 guidelines, G72
  • 2 should be used when myopathy is specifically attributed to toxic agents
  • Coders must ensure that the documentation clearly indicates the toxic exposure and its relationship to the myopathy

Exclusion Criteria

Do NOT use G72.2 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

83036CPT Code

Creatine Kinase (CK) Test

Clinical Scenario

Used to assess muscle damage in suspected myopathy cases.

Documentation Requirements

Document the reason for the test, including symptoms and suspected diagnosis.

Specialty Considerations

Neurologists should correlate CK levels with clinical findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of myopathies, including those due to toxic agents, enhancing 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 myopathies, including those due to toxic agents, enhancing the ability to track and manage these conditions effectively.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of myopathies, including those due to toxic agents, enhancing the ability to track and manage these conditions effectively.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common toxic agents that can cause myopathy?

Common toxic agents include heavy metals (like lead and mercury), certain medications (such as statins), and environmental toxins (like pesticides).