G71.00: Muscular dystrophy, unspecified

Risk adjustment

G71.00 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

• HCC 197 Muscular Dystrophy0.426 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

G71.00 is named in 12 Medicare coverage policies: 12 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

• A52494High Frequency Chest Wall Oscillation Devices - Policy Article
• A52510Mechanical In-exsufflation Devices - Policy Article
• A53057Billing and Coding: Home Health Occupational Therapy
• A53064Billing and Coding: Outpatient Occupational Therapy