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ICD-10 Guide
ICD-10 CodesE71.111

E71.111

Billable

3-methylglutaconic aciduria

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

Code Description

ICD-10 E71.111 is a billable code used to indicate a diagnosis of 3-methylglutaconic aciduria.

Key Diagnostic Point:

3-methylglutaconic aciduria is a rare metabolic disorder characterized by the accumulation of 3-methylglutaconic acid in the urine due to a deficiency in the enzyme 3-methylglutaconyl-CoA hydratase. This condition is part of a group of disorders known as organic acidemias, which are caused by defects in the metabolism of amino acids and organic acids. Patients with this disorder may present with a variety of symptoms, including developmental delays, muscle weakness, and neurological issues. The condition can be inherited in an autosomal recessive pattern, and genetic testing can confirm the diagnosis by identifying mutations in the related genes. Early diagnosis and management are crucial to prevent complications, and treatment typically involves dietary modifications and supplementation to manage symptoms and reduce acid accumulation. Regular monitoring and supportive care are essential for optimizing patient outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of metabolic pathways and enzyme functions
  • Differentiation from other organic acidemias
  • Need for genetic testing documentation
  • Potential for multiple associated symptoms requiring comprehensive coding

Audit Risk Factors

  • Inadequate documentation of metabolic testing results
  • Failure to document genetic counseling or testing
  • Misclassification of symptoms related to other metabolic disorders
  • Lack of comprehensive patient history

Specialty Focus

Medical Specialties

Genetics

Documentation Requirements

Detailed family history and genetic testing results must be documented.

Common Clinical Scenarios

Patients presenting with developmental delays and metabolic abnormalities.

Billing Considerations

Ensure that genetic testing results are clearly linked to the diagnosis.

Pediatrics

Documentation Requirements

Growth and developmental milestones should be documented alongside metabolic assessments.

Common Clinical Scenarios

Infants and children presenting with unexplained neurological symptoms.

Billing Considerations

Document any dietary interventions and their effects on the patient's condition.

Coding Guidelines

Inclusion Criteria

Use E71.111 When
  • Follow ICD
  • CM guidelines for coding metabolic disorders, ensuring accurate documentation of symptoms, laboratory results, and any genetic testing performed
  • Include any relevant co
  • morbidities that may affect treatment

Exclusion Criteria

Do NOT use E71.111 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

81200CPT Code

Genetic testing for metabolic disorders

Clinical Scenario

Used when confirming a diagnosis of 3-methylglutaconic aciduria through genetic analysis.

Documentation Requirements

Document the specific genes tested and the results.

Specialty Considerations

Genetic specialists should ensure that family history is included.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of metabolic disorders, improving the accuracy of diagnoses and treatment tracking for conditions like 3-methylglutaconic aciduria.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of metabolic disorders, improving the accuracy of diagnoses and treatment tracking for conditions like 3-methylglutaconic aciduria.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of metabolic disorders, improving the accuracy of diagnoses and treatment tracking for conditions like 3-methylglutaconic aciduria.

Resources

Clinical References

  • •
    National Organization for Rare Disorders (NORD)

Coding & Billing References

  • •
    National Organization for Rare Disorders (NORD)

Frequently Asked Questions

What are the common symptoms of 3-methylglutaconic aciduria?

Common symptoms include developmental delays, muscle weakness, and neurological issues. Patients may also experience metabolic crises.