G71.031

G71.031: Autosomal dominant limb girdle muscular dystrophy

Billable / specific codeICD-10-CM

G71.031 is a billable, specific ICD-10-CM code for autosomal dominant limb girdle muscular dystrophy. It is valid for submission on a claim.

Check G71.031 with the rest of the claim: free scrubber

Inclusion terms

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

LGMD D4 calpain-3-related
LGMD D5 collagen 6-related
Limb girdle muscular dystrophy type 1

Excludes2 inherited from the categories above G71.031

Not part of this code, but both may be coded when both are present.

Written on G71: Primary disorders of muscles

arthrogryposis multiplex congenita (Q74.3)
metabolic disorders (E70-E88)
myositis (M60.-)

Risk adjustment

G71.031 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

G71.031 is named in 15 Medicare coverage policies: 15 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
A53058Billing and Coding: Home Health Physical Therapy

Alphabetic index entries that lead here

Calpainopathy›autosomal dominant
Dystrophy, dystrophia›muscular›limb-girdle›D1(autosomal dominant)
Dystrophy, dystrophia›muscular›limb-girdle›D2(autosomal dominant)
Dystrophy, dystrophia›muscular›limb-girdle›D3(autosomal dominant)
Dystrophy, dystrophia›muscular›limb-girdle›D4(autosomal dominant)
Dystrophy, dystrophia›muscular›limb-girdle›D5(autosomal dominant)
Dystrophy, dystrophia›muscular›limb-girdle›type 1(autosomal dominant)
Dystrophy, dystrophia›muscular›limb-girdle›type 1A(autosomal dominant)
Dystrophy, dystrophia›muscular›limb-girdle›type 1B(autosomal dominant)
Dystrophy, dystrophia›muscular›limb-girdle›type 1C(autosomal dominant)
Dystrophy, dystrophia›muscular›limb-girdle›type 1E(autosomal dominant)
Dystrophy, dystrophia›muscular›limb-girdle›type 1H(autosomal dominant)

Code history

Unchanged in every release from FY2024 to FY2027.