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ICD-10 Guide
ICD-10 CodesChapter 6: Diseases of the nervous systemG13

G13

Billable

Systemic atrophies primarily affecting central nervous system in diseases classified elsewhere

Chapter 6:Diseases of the nervous system

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

Code Description

ICD-10 G13 is a billable code used to indicate a diagnosis of systemic atrophies primarily affecting central nervous system in diseases classified elsewhere.

Key Diagnostic Point:

G13 encompasses a range of systemic atrophies that primarily affect the central nervous system (CNS) and are classified under other diseases. This includes hereditary and degenerative conditions such as Huntington's disease, various forms of ataxia, and motor neuron diseases. These conditions are characterized by progressive degeneration of nerve cells, leading to motor dysfunction, cognitive decline, and other neurological symptoms. Huntington's disease, for instance, is a genetic disorder that results in the breakdown of nerve cells in the brain, causing movement disorders and cognitive decline. Ataxias, which can be hereditary or acquired, lead to coordination and balance issues due to cerebellar degeneration. Motor neuron diseases, such as amyotrophic lateral sclerosis (ALS), involve the degeneration of motor neurons, resulting in muscle weakness and atrophy. Accurate coding for G13 requires a thorough understanding of the underlying conditions and their manifestations, as well as careful documentation of the patient's clinical presentation and history.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Variety of underlying conditions leading to similar symptoms
  • Need for precise documentation of hereditary vs. acquired conditions
  • Differentiation between various types of ataxias and motor neuron diseases
  • Potential for overlapping symptoms with other neurological disorders

Audit Risk Factors

  • Inadequate documentation of the specific type of atrophy
  • Failure to specify hereditary vs. acquired conditions
  • Misclassification of symptoms leading to incorrect coding
  • Lack of clarity in the patient's clinical history

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with progressive motor dysfunction, cognitive decline, or coordination issues.

Billing Considerations

Ensure that the documentation clearly differentiates between hereditary and acquired conditions.

Genetics

Documentation Requirements

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

Common Clinical Scenarios

Patients with a family history of neurological disorders or symptoms suggestive of hereditary ataxias.

Billing Considerations

Documentation should include genetic counseling notes and any relevant family history.

Coding Guidelines

Inclusion Criteria

Use G13 When
  • According to ICD
  • 10 coding guidelines, G13 should be used when the atrophy is a consequence of diseases classified elsewhere
  • Coders must ensure that the primary diagnosis is clearly documented and that G13 is used as a secondary code to reflect the systemic atrophy

Exclusion Criteria

Do NOT use G13 When
No specific exclusions found.

Related CPT Codes

99214CPT Code

Established patient office visit, level 4

Clinical Scenario

Used for follow-up visits for patients with G13-related conditions.

Documentation Requirements

Detailed history, examination, and medical decision-making.

Specialty Considerations

Neurologists should document neurological assessments thoroughly.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more precise coding of systemic atrophies, enabling better tracking of these conditions and their management. G13 provides a specific classification for atrophies resulting from diseases classified elsewhere, improving the accuracy of health records.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more precise coding of systemic atrophies, enabling better tracking of these conditions and their management. G13 provides a specific classification for atrophies resulting from diseases classified elsewhere, improving the accuracy of health records.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more precise coding of systemic atrophies, enabling better tracking of these conditions and their management. G13 provides a specific classification for atrophies resulting from diseases classified elsewhere, improving the accuracy of health records.

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 conditions are included under G13?

G13 includes systemic atrophies primarily affecting the CNS due to hereditary and degenerative diseases, such as Huntington's disease, various ataxias, and motor neuron diseases.

How do I differentiate between hereditary and acquired atrophies?

Documentation should include family history and genetic testing results to differentiate hereditary atrophies from acquired conditions.