ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesG11.3

G11.3

Billable

Cerebellar ataxia with defective DNA repair

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

Code Description

ICD-10 G11.3 is a billable code used to indicate a diagnosis of cerebellar ataxia with defective dna repair.

Key Diagnostic Point:

Cerebellar ataxia with defective DNA repair is a hereditary condition characterized by progressive ataxia due to dysfunction in the cerebellum, which is responsible for coordination and balance. This condition is often associated with genetic mutations that impair the body's ability to repair DNA, leading to neurodegeneration. Patients typically present with symptoms such as unsteady gait, difficulty with fine motor tasks, and potential cognitive decline. The onset of symptoms can vary, with some individuals experiencing early onset in childhood while others may not show symptoms until adulthood. The condition is part of a broader category of ataxias, which can be hereditary or acquired, and is often linked to other neurodegenerative diseases. Genetic testing is crucial for diagnosis, as it can identify specific mutations associated with defective DNA repair mechanisms. Management focuses on symptomatic relief and supportive therapies, including physical therapy to improve coordination and balance.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Requires understanding of genetic testing and results interpretation.
  • Differentiation from other types of ataxia and neurodegenerative diseases.
  • Need for comprehensive documentation of symptoms and family history.
  • Potential for co-morbid conditions that may complicate coding.

Audit Risk Factors

  • Inadequate documentation of genetic testing results.
  • Failure to document family history of ataxia or related conditions.
  • Misclassification of ataxia type due to overlapping symptoms.
  • Lack of detailed clinical notes on symptom progression.

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, genetic testing results, and family history.

Common Clinical Scenarios

Patients presenting with progressive ataxia, balance issues, and cognitive decline.

Billing Considerations

Ensure thorough documentation of neurological assessments and any interventions.

Genetics

Documentation Requirements

Results of genetic tests, family pedigree, and counseling notes.

Common Clinical Scenarios

Patients undergoing genetic testing for hereditary ataxias.

Billing Considerations

Accurate coding of genetic tests performed and their implications for family members.

Coding Guidelines

Inclusion Criteria

Use G11.3 When
  • According to ICD
  • 10 guidelines, G11
  • 3 should be used when there is clear documentation of cerebellar ataxia linked to defective DNA repair
  • It is important to include genetic testing results and family history in the documentation to support the diagnosis

Exclusion Criteria

Do NOT use G11.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

81291CPT Code

ATM gene analysis

Clinical Scenario

Used when genetic testing is performed to confirm defective DNA repair.

Documentation Requirements

Documentation of clinical indications for testing and results.

Specialty Considerations

Neurology and genetics specialists should ensure accurate coding of genetic tests.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of hereditary conditions like G11.3, improving the accuracy of patient records and facilitating better research and treatment options.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of hereditary conditions like G11.3, improving the accuracy of patient records and facilitating better research and treatment options.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of hereditary conditions like G11.3, improving the accuracy of patient records and facilitating better research and treatment options.

Resources

Clinical References

  • •
    National Ataxia Foundation

Coding & Billing References

  • •
    National Ataxia Foundation

Frequently Asked Questions

What is the significance of genetic testing in G11.3?

Genetic testing is crucial for confirming the diagnosis of G11.3, as it identifies specific mutations associated with defective DNA repair, which is essential for accurate coding and management of the condition.