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v1.0.0
ICD-10 Guide
ICD-10 CodesG31.80

G31.80

Billable

Leukodystrophy, unspecified

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

Code Description

ICD-10 G31.80 is a billable code used to indicate a diagnosis of leukodystrophy, unspecified.

Key Diagnostic Point:

Leukodystrophy refers to a group of rare genetic disorders characterized by the degeneration of the white matter in the brain. This condition affects the myelin sheath, which is crucial for the proper functioning of the nervous system. The unspecified designation indicates that the specific type of leukodystrophy has not been determined. Symptoms can vary widely but often include cognitive decline, motor dysfunction, and seizures. Patients may present with progressive neurological deficits, which can mimic other degenerative diseases such as Alzheimer's disease. The diagnosis typically involves a combination of clinical evaluation, neuroimaging studies, and genetic testing. Given the complexity of leukodystrophies, accurate coding is essential for appropriate management and treatment planning. The condition may overlap with other neurodegenerative diseases, making differential diagnosis critical. Understanding the nuances of leukodystrophy is vital for healthcare providers, particularly in assessing cognitive decline and related symptoms.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and symptoms
  • Overlap with other neurodegenerative diseases
  • Need for comprehensive diagnostic testing
  • Potential for misdiagnosis

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to specify the type of leukodystrophy
  • Misalignment between diagnosis and treatment provided
  • Inconsistent use of related codes

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, imaging results, and genetic testing reports.

Common Clinical Scenarios

Patients presenting with cognitive decline, motor dysfunction, or seizures.

Billing Considerations

Ensure that all neurological assessments are documented to support the diagnosis.

Genetics

Documentation Requirements

Genetic testing results and family history of neurological disorders.

Common Clinical Scenarios

Patients with a family history of leukodystrophy or unexplained neurological symptoms.

Billing Considerations

Documentation of genetic counseling and testing is crucial for accurate coding.

Coding Guidelines

Inclusion Criteria

Use G31.80 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the diagnosis is supported by clinical documentation
  • Include any relevant diagnostic tests and assessments that confirm the diagnosis of leukodystrophy

Exclusion Criteria

Do NOT use G31.80 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

96116CPT Code

Neuropsychological testing

Clinical Scenario

Used to assess cognitive function in patients suspected of having leukodystrophy.

Documentation Requirements

Detailed report of cognitive assessments and findings.

Specialty Considerations

Neurologists should ensure that cognitive assessments are linked to the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of leukodystrophies, improving the accuracy of diagnoses and treatment plans. However, the unspecified nature of G31.80 can lead to challenges in documentation and coding accuracy.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of leukodystrophies, improving the accuracy of diagnoses and treatment plans. However, the unspecified nature of G31.80 can lead to challenges in documentation and coding accuracy.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of leukodystrophies, improving the accuracy of diagnoses and treatment plans. However, the unspecified nature of G31.80 can lead to challenges in documentation and coding accuracy.

Resources

Clinical References

  • •
    National Organization for Rare Disorders (NORD)

Coding & Billing References

  • •
    National Organization for Rare Disorders (NORD)

Frequently Asked Questions

What is leukodystrophy?

Leukodystrophy is a group of genetic disorders that affect the white matter of the brain, leading to progressive neurological deficits.

How is leukodystrophy diagnosed?

Diagnosis typically involves clinical evaluation, neuroimaging, and genetic testing to identify specific mutations.

What are the common symptoms of leukodystrophy?

Symptoms can include cognitive decline, motor dysfunction, seizures, and behavioral changes, which may vary based on the specific type of leukodystrophy.