G71.032

G71.032: Autosomal recessive limb girdle muscular dystrophy due to calpain-3 dysfunction

Billable / specific codeICD-10-CM

G71.032 is a billable, specific ICD-10-CM code for autosomal recessive limb girdle muscular dystrophy due to calpain-3 dysfunction. It is valid for submission on a claim.

Check G71.032 with the rest of the claim: free scrubber

Inclusion terms

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

Limb girdle muscular dystrophy type 2A
LGMD R1 calpain-3-related
Primary calpainopathy

Excludes2 inherited from the categories above G71.032

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

G71.032 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

G71.032 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(primary)
Calpainopathy›autosomal recessive
Dystrophy, dystrophia›Leyden-Möbius›meaning Limb girdle muscular dystrophy type 2A(autosomal recessive)
Dystrophy, dystrophia›muscular›limb-girdle›calpain-3-related
Dystrophy, dystrophia›muscular›limb-girdle›R1(autosomal recessive)
Dystrophy, dystrophia›muscular›limb-girdle›type 2A(autosomal recessive)
Dystrophy, dystrophia›muscular›limb-girdle›calpain-3-related›autosomal recessive

Code history

Unchanged in every release from FY2024 to FY2027.