G72.81

G72.81: Critical illness myopathy

Billable / specific codeICD-10-CM

G72.81 is a billable, specific ICD-10-CM code for critical illness myopathy. It is valid for submission on a claim.

Check G72.81 with the rest of the claim: free scrubber

Inclusion terms

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

Acute necrotizing myopathy
Acute quadriplegic myopathy
Intensive care (ICU) myopathy
Myopathy of critical illness

Excludes1 inherited from the categories above G72.81

A category’s note binds every code beneath it.

Written on G72: Other and unspecified myopathies

arthrogryposis multiplex congenita (Q74.3)
dermatopolymyositis (M33.-)
ischemic infarction of muscle (M62.2-)
myositis (M60.-)
polymyositis (M33.2.-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

G72.81 is named in 14 Medicare coverage policies: 14 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A53057Billing and Coding: Home Health Occupational Therapy
A53064Billing and Coding: Outpatient Occupational Therapy
A54095Billing and Coding: Nerve Conduction Studies and Electromyography
A54969Billing and Coding: Nerve Conduction Studies and Electromyography

Alphabetic index entries that lead here

Myopathy›critical illness
Myopathy›intensive care(ICU)
Myopathy›of critical illness
Myopathy›acute›necrotizing
Myopathy›acute›quadriplegic

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under G72.8

G72.89Other specified myopathies