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v1.0.0
ICD-10 Guide
ICD-10 CodesE74.05

E74.05

Billable

Lysosome-associated membrane protein 2 [LAMP2] deficiency

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

Code Description

ICD-10 E74.05 is a billable code used to indicate a diagnosis of lysosome-associated membrane protein 2 [lamp2] deficiency.

Key Diagnostic Point:

Lysosome-associated membrane protein 2 (LAMP2) deficiency is a rare genetic disorder that affects the lysosomal function in cells. It is caused by mutations in the LAMP2 gene, which is crucial for the proper functioning of lysosomes, the cellular organelles responsible for breaking down waste materials and cellular debris. This deficiency leads to a buildup of undigested materials within lysosomes, resulting in cellular dysfunction and a variety of clinical manifestations. Patients may present with symptoms such as muscle weakness, cardiomyopathy, and neurological deficits. The condition is often categorized into three clinical forms: classical LAMP2 deficiency, which presents in infancy with severe symptoms; a late-onset form, which may manifest in childhood or adulthood with milder symptoms; and an intermediate form. Diagnosis typically involves genetic testing to identify mutations in the LAMP2 gene, along with clinical evaluation and biochemical assays to assess lysosomal function. Management is supportive and symptomatic, focusing on improving quality of life and addressing specific symptoms.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Rarity of the condition leading to limited coding experience
  • Need for precise genetic testing documentation
  • Variability in clinical presentation complicating coding
  • Potential for misdiagnosis with other lysosomal storage disorders

Audit Risk Factors

  • Inadequate documentation of genetic testing results
  • Failure to specify the clinical form of LAMP2 deficiency
  • Misalignment between clinical symptoms and coded diagnosis
  • Lack of supporting documentation for multidisciplinary care

Specialty Focus

Medical Specialties

Genetics

Documentation Requirements

Detailed genetic testing results and family history.

Common Clinical Scenarios

Patients presenting with unexplained muscle weakness or cardiomyopathy.

Billing Considerations

Ensure accurate documentation of genetic mutations and their implications.

Pediatrics

Documentation Requirements

Growth and developmental milestones, symptom progression.

Common Clinical Scenarios

Infants or children with developmental delays and muscle weakness.

Billing Considerations

Documenting the onset and progression of symptoms is crucial for accurate coding.

Coding Guidelines

Inclusion Criteria

Use E74.05 When
  • Follow ICD
  • CM guidelines for coding genetic disorders, ensuring specificity in documentation
  • Include any relevant laboratory findings and genetic testing results to support the diagnosis

Exclusion Criteria

Do NOT use E74.05 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

81229CPT Code

LAMP2 gene analysis

Clinical Scenario

Used when genetic testing is performed to confirm LAMP2 deficiency.

Documentation Requirements

Document the reason for testing and the results.

Specialty Considerations

Genetic counseling may be necessary for family members.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 allows for more specific coding of genetic conditions like LAMP2 deficiency, improving the accuracy of health records and facilitating better patient management.

ICD-9 vs ICD-10

The transition to ICD-10 allows for more specific coding of genetic conditions like LAMP2 deficiency, improving the accuracy of health records and facilitating better patient management.

Reimbursement & Billing Impact

The transition to ICD-10 allows for more specific coding of genetic conditions like LAMP2 deficiency, improving the accuracy of health records and facilitating better patient management.

Resources

Clinical References

  • •
    National Organization for Rare Disorders (NORD)

Coding & Billing References

  • •
    National Organization for Rare Disorders (NORD)

Frequently Asked Questions

What is LAMP2 deficiency?

LAMP2 deficiency is a rare genetic disorder that affects lysosomal function, leading to various clinical symptoms including muscle weakness and cardiomyopathy.

How is LAMP2 deficiency diagnosed?

Diagnosis is confirmed through genetic testing to identify mutations in the LAMP2 gene, along with clinical evaluation.

What are the treatment options for LAMP2 deficiency?

Management is primarily supportive, focusing on alleviating symptoms and improving quality of life.