Is G11.11 a billable ICD-10-CM code?

Yes. G11.11 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does G11.11 sit in the tabular list?

Diseases of the nervous system (G00-G99), in the block Systemic atrophies primarily affecting the central nervous system (G10-G14).

G11.11

G11.11 — Friedreich ataxia

Billable / specific codeICD-10-CM

G11.11 is a billable, specific ICD-10-CM code for friedreich ataxia. It is valid for submission on a claim.

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Autosomal recessive Friedreich ataxia
Friedreich ataxia with retained reflexes

Risk adjustment

G11.11 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 200 Friedreich and Other Hereditary Ataxias; Huntington Disease0.279 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.

Medicare coverage

G11.11 is named in 27 Medicare coverage policies — 27 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
A53057Billing and Coding: Home Health Occupational Therapy
A53058Billing and Coding: Home Health Physical Therapy

How G11.11 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to G11.11.

Ataxia, ataxy, ataxic›autosomal recessive Friedreich
Ataxia, ataxy, ataxic›Friedreich's(heredofamilial) (cerebellar) (spinal) (with retained reflexes)
Friedreich's›ataxia
Friedreich's›combined systemic disease
Friedreich's›sclerosis(cerebellum) (spinal cord)
Sclerosis, sclerotic›Friedreich's(spinal cord)
Ataxia, ataxy, ataxic›hereditary›spinal(Friedreich's)
Ataxia, ataxy, ataxic›spinal›hereditary(Friedreich's)
Cardiomyopathy›due to›Friedreich's ataxia
Disease, diseased›Friedreich's›combined systemic or ataxia
Myocardiopathy›in›Friedreich's ataxia
Sclerosis, sclerotic›hereditary›spinal(Friedreich's ataxia)

Related codes at this level

Codes that share G11.1. If G11.11 is not quite right, the correct code is usually one of these.

Questions about G11.11

Is G11.11 a billable ICD-10-CM code?: Yes. G11.11 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does G11.11 sit in the tabular list?: Diseases of the nervous system (G00-G99), in the block Systemic atrophies primarily affecting the central nervous system (G10-G14).