G72.41 — Inclusion body myositis [IBM]
G72.41 is a billable, specific ICD-10-CM code for inclusion body myositis [ibm]. It is valid for submission on a claim.
Risk adjustment
G72.41 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 93 Rheumatoid Arthritis and Other Specified Inflammatory Rheumatic Disorders0.617 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
G72.41 is named in 26 Medicare coverage policies — 26 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 G72.41 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 G72.41.
- Myositis›inclusion body [IBM]
Related codes at this level
Codes that share G72.4. If G72.41 is not quite right, the correct code is usually one of these.
Questions about G72.41
- Is G72.41 a billable ICD-10-CM code?
- Yes. G72.41 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does G72.41 sit in the tabular list?
- Diseases of the nervous system (G00-G99), in the block Diseases of myoneural junction and muscle (G70-G73).