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v1.0.0
ICD-10 Guide
ICD-10 CodesG71.034

G71.034

Billable

Limb girdle muscular dystrophy due to sarcoglycan dysfunction

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

Code Description

ICD-10 G71.034 is a billable code used to indicate a diagnosis of limb girdle muscular dystrophy due to sarcoglycan dysfunction.

Key Diagnostic Point:

Limb girdle muscular dystrophy (LGMD) due to sarcoglycan dysfunction is a genetic disorder characterized by progressive weakness and wasting of the proximal muscles, particularly those around the hips and shoulders. This condition is caused by mutations in genes responsible for the production of sarcoglycan proteins, which are essential for muscle cell membrane integrity. Patients typically present with muscle weakness that may begin in childhood or adolescence, leading to difficulties in walking, climbing stairs, and performing daily activities. As the disease progresses, individuals may experience muscle atrophy and joint contractures. Diagnosis is confirmed through genetic testing, muscle biopsy, and clinical evaluation. Management focuses on physical therapy, occupational therapy, and supportive care to maintain mobility and function. Understanding the genetic basis of this condition is crucial for family counseling and potential future therapies.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Genetic testing documentation requirements
  • Differentiation from other muscular dystrophies
  • Need for comprehensive clinical evaluation
  • Potential for co-existing neuromuscular disorders

Audit Risk Factors

  • Inadequate documentation of genetic testing results
  • Failure to specify the type of muscular dystrophy
  • Misclassification with other neuromuscular disorders
  • Lack of detailed clinical notes on muscle strength testing

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, genetic testing results, and muscle biopsy reports.

Common Clinical Scenarios

Diagnosis confirmation, management of symptoms, and referrals for physical therapy.

Billing Considerations

Ensure accurate documentation of muscle strength and functional limitations.

Genetics

Documentation Requirements

Family history, genetic test results, and counseling notes.

Common Clinical Scenarios

Genetic counseling for affected families and interpretation of genetic tests.

Billing Considerations

Document the implications of genetic findings for family members.

Coding Guidelines

Inclusion Criteria

Use G71.034 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used only when sarcoglycan dysfunction is confirmed
  • Document all relevant clinical findings and genetic testing results to support the diagnosis

Exclusion Criteria

Do NOT use G71.034 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

81401CPT Code

Genetic testing for sarcoglycan mutations

Clinical Scenario

Used when confirming diagnosis of LGMD due to sarcoglycan dysfunction.

Documentation Requirements

Documentation of clinical indications for genetic testing.

Specialty Considerations

Neurology and genetics specialists should ensure comprehensive documentation.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of muscular dystrophies, improving the accuracy of diagnoses and facilitating better patient management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of muscular dystrophies, improving the accuracy of diagnoses and facilitating better patient management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of muscular dystrophies, improving the accuracy of diagnoses and facilitating better patient management.

Resources

Clinical References

  • •
    Muscular Dystrophy Association

Coding & Billing References

  • •
    Muscular Dystrophy Association

Frequently Asked Questions

What is the primary cause of limb girdle muscular dystrophy due to sarcoglycan dysfunction?

It is primarily caused by mutations in genes responsible for sarcoglycan protein production, leading to muscle cell membrane instability.