Is G71.0342 a billable ICD-10-CM code?

Yes. G71.0342 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does G71.0342 sit in the tabular list?

Diseases of the nervous system (G00-G99), in the block Diseases of myoneural junction and muscle (G70-G73).

G71.0342

G71.0342 — Limb girdle muscular dystrophy due to beta sarcoglycan dysfunction

Billable / specific codeICD-10-CM

G71.0342 is a billable, specific ICD-10-CM code for limb girdle muscular dystrophy due to beta sarcoglycan dysfunction. It is valid for submission on a claim.

Inclusion terms

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

Beta sarcoglycanopathy
Limb girdle muscular dystrophy due to beta-sarcoglycan deficiency
Limb girdle muscular dystrophy type 2E

Risk adjustment

G71.0342 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.

Medicare coverage

G71.0342 is named in 18 Medicare coverage policies — 18 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

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

How G71.0342 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 G71.0342.

Sarcoglycanopathy›beta
Dystrophy, dystrophia›muscular›limb-girdle›beta-sarcoglycan-related
Dystrophy, dystrophia›muscular›limb-girdle›R4(autosomal recessive)
Dystrophy, dystrophia›muscular›limb-girdle›type 2E(autosomal recessive)
Dystrophy, dystrophia›muscular›limb-girdle›due to›beta sarcoglycan dysfunction

Related codes at this level

Codes that share G71.034. If G71.0342 is not quite right, the correct code is usually one of these.

Questions about G71.0342

Is G71.0342 a billable ICD-10-CM code?: Yes. G71.0342 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does G71.0342 sit in the tabular list?: Diseases of the nervous system (G00-G99), in the block Diseases of myoneural junction and muscle (G70-G73).