G70.81: Lambert-Eaton syndrome in disease classified elsewhere
G70.81 is a billable, specific ICD-10-CM code for lambert-eaton syndrome in disease classified elsewhere. It is valid for submission on a claim.
Check G70.81 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- Lambert-Eaton syndrome in neoplastic disease (G73.1)
Code first
The underlying condition must be sequenced before this code.
- underlying disease
Other codes that can never be billed with G70.81
Their own Excludes1 notes name this code, so the conflict is not listed above.
- G73.1Lambert-Eaton syndrome in neoplastic disease
Risk adjustment
G70.81 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 196 Myasthenia Gravis without (Acute) Exacerbation and Other Myoneural Disorders0.516 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. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
G70.81 is named in 30 Medicare coverage policies: 30 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
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- A53058Billing and Coding: Home Health Physical Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
Alphabetic index entries that lead here
- Syndrome›Lambert-Eaton›in›specified disease NEC
Code history
Unchanged in every release from FY2024 to FY2027.