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v1.0.0
ICD-10 Guide
ICD-10 CodesG71.228

G71.228

Billable

Other centronuclear myopathy

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

Code Description

ICD-10 G71.228 is a billable code used to indicate a diagnosis of other centronuclear myopathy.

Key Diagnostic Point:

Centronuclear myopathy (CNM) is a rare genetic muscle disorder characterized by the presence of centrally located nuclei in muscle fibers. It is classified under myopathies, which are diseases that affect muscle tissue. CNM can manifest in various forms, with symptoms ranging from mild muscle weakness to severe disability. The condition is often inherited in an X-linked manner, particularly in males, but can also occur in females. Patients typically present with muscle weakness, hypotonia, and delayed motor milestones. Other associated features may include respiratory difficulties and scoliosis. Diagnosis is primarily based on clinical evaluation, muscle biopsy, and genetic testing to identify mutations in genes such as DNM2, MTM1, and others. Management focuses on supportive care, including physical therapy and respiratory support, as there is currently no cure for the condition. Understanding the nuances of centronuclear myopathy is crucial for accurate coding and appropriate patient management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of symptoms
  • Need for genetic testing and interpretation of results
  • Differentiation from other myopathies and neuromuscular disorders
  • Documentation of family history and genetic background

Audit Risk Factors

  • Inadequate documentation of genetic testing results
  • Failure to document the severity of muscle weakness
  • Lack of detailed clinical history
  • Misclassification of the condition as a different myopathy

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with unexplained muscle weakness, hypotonia in infants, or progressive muscle weakness in adults.

Billing Considerations

Ensure detailed documentation of neurological assessments and any associated symptoms.

Genetics

Documentation Requirements

Genetic test results, family pedigree, and detailed clinical notes regarding inheritance patterns.

Common Clinical Scenarios

Referral for genetic counseling after diagnosis, family testing for at-risk relatives.

Billing Considerations

Document the rationale for genetic testing and any implications for family members.

Coding Guidelines

Inclusion Criteria

Use G71.228 When
  • Follow ICD
  • CM guidelines for coding myopathies
  • 228 is used when the specific type of centronuclear myopathy is not classified elsewhere
  • Ensure to document the clinical findings and any relevant genetic testing

Exclusion Criteria

Do NOT use G71.228 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

81403CPT Code

Genetic testing for myopathy

Clinical Scenario

Used when genetic testing is performed to confirm a diagnosis of centronuclear myopathy.

Documentation Requirements

Document the reason for testing, results, and any implications for treatment.

Specialty Considerations

Neurology and genetics specialists should ensure thorough documentation of clinical findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of centronuclear myopathy, improving the accuracy of data collection and reimbursement processes. It has also facilitated better tracking of rare conditions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of centronuclear myopathy, improving the accuracy of data collection and reimbursement processes. It has also facilitated better tracking of rare conditions.

Reimbursement & Billing Impact

reimbursement processes. It has also facilitated better tracking of rare conditions.

Resources

Clinical References

  • •
    National Institute of Neurological Disorders and Stroke

Coding & Billing References

  • •
    National Institute of Neurological Disorders and Stroke

Frequently Asked Questions

What is centronuclear myopathy?

Centronuclear myopathy is a rare genetic disorder characterized by muscle weakness and the presence of centrally located nuclei in muscle fibers. It can lead to varying degrees of disability and requires careful management.