Is G72.4 a billable ICD-10-CM code?

No. G72.4 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does G72.4 sit in the tabular list?

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

G72.4

G72.4 — Inflammatory and immune myopathies, not elsewhere classified

Non-billable headerICD-10-CM

G72.4 is a non-billable header ICD-10-CM code for inflammatory and immune myopathies, not elsewhere classified. It cannot be billed on its own: choose one of the more specific child codes below.

Risk adjustment

G72.4 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead G72.4

2 child codes. Green means billable.

Related codes at this level

Codes that share G72. If G72.4 is not quite right, the correct code is usually one of these.

Questions about G72.4

Is G72.4 a billable ICD-10-CM code?: No. G72.4 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does G72.4 sit in the tabular list?: Diseases of the nervous system (G00-G99), in the block Diseases of myoneural junction and muscle (G70-G73).