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v1.0.0
ICD-10 Guide
ICD-10 CodesG71.29

G71.29

Billable

Other congenital myopathy

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

Code Description

ICD-10 G71.29 is a billable code used to indicate a diagnosis of other congenital myopathy.

Key Diagnostic Point:

Congenital myopathies are a group of inherited muscle disorders characterized by muscle weakness and hypotonia that are present at birth or develop in early childhood. G71.29 specifically refers to congenital myopathies that do not fit into more specific categories such as muscular dystrophies or myasthenia gravis. These conditions can result from various genetic mutations affecting muscle structure and function. Symptoms may include muscle weakness, delayed motor milestones, and in some cases, respiratory difficulties. Diagnosis typically involves clinical evaluation, genetic testing, and muscle biopsy. Management focuses on supportive care, physical therapy, and addressing specific symptoms. The prognosis varies widely depending on the specific type of myopathy and the severity of symptoms, with some individuals leading relatively normal lives while others may experience significant disability.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying genetic causes
  • Overlap with other neuromuscular disorders
  • Need for precise documentation of symptoms
  • Potential for misclassification with similar conditions

Audit Risk Factors

  • Inadequate documentation of genetic testing results
  • Failure to specify the type of congenital myopathy
  • Misuse of related codes leading to upcoding or downcoding
  • Lack of clarity in clinical notes regarding symptom severity

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed clinical history, genetic testing results, and physical examination findings.

Common Clinical Scenarios

Diagnosis of congenital myopathy in a pediatric patient presenting with hypotonia.

Billing Considerations

Ensure comprehensive documentation of neurological assessments and any referrals to genetic counseling.

Pediatrics

Documentation Requirements

Growth and developmental milestones, family history of neuromuscular disorders.

Common Clinical Scenarios

Monitoring a child with congenital myopathy for developmental delays.

Billing Considerations

Document any interventions or therapies provided to support motor development.

Coding Guidelines

Inclusion Criteria

Use G71.29 When
  • According to ICD
  • 10 guidelines, G71
  • 29 should be used when the specific type of congenital myopathy is not classified elsewhere
  • Coders should ensure that the documentation supports the diagnosis and that other specific myopathy codes are not applicable

Exclusion Criteria

Do NOT use G71.29 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used for follow-up visits for patients with congenital myopathy.

Documentation Requirements

Document history, examination findings, and any changes in treatment plan.

Specialty Considerations

Ensure that the visit is clearly linked to the management of congenital myopathy.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital myopathies, improving the ability to capture the nuances of these conditions. G71.29 provides a necessary code for cases that do not fit into more defined categories, enhancing data accuracy and patient care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital myopathies, improving the ability to capture the nuances of these conditions. G71.29 provides a necessary code for cases that do not fit into more defined categories, enhancing data accuracy and patient care.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    American Academy of Neurology
  • •
    Muscular Dystrophy Association

Coding & Billing References

  • •
    American Academy of Neurology
  • •
    Muscular Dystrophy Association

Frequently Asked Questions

What is the difference between G71.29 and G71.0?

G71.29 is used for other congenital myopathies that do not fall under the specific category of congenital muscular dystrophy, which is coded as G71.0. Accurate documentation is crucial to determine the appropriate code.

Can G71.29 be used for acquired myopathies?

No, G71.29 is specifically for congenital myopathies. Acquired myopathies should be coded under different classifications.