G73.1

G73.1: Lambert-Eaton syndrome in neoplastic disease

Billable / specific codeICD-10-CM

G73.1 is a billable, specific ICD-10-CM code for lambert-eaton syndrome in neoplastic disease. It is valid for submission on a claim.

Check G73.1 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

Lambert-Eaton syndrome not associated with neoplasm (G70.80-G70.81)

Code first

The underlying condition must be sequenced before this code.

underlying neoplasm (C00-D49)

Other codes that can never be billed with G73.1

Their own Excludes1 notes name this code, so the conflict is not listed above.

G70.81Lambert-Eaton syndrome in disease classified elsewhere

Risk adjustment

G73.1 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 196 Myasthenia Gravis without (Acute) Exacerbation and Other Myoneural Disorders0.516 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

G73.1 is named in 28 Medicare coverage policies: 28 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52479Oral Anticancer Drugs - Policy Article
A53052Billing and Coding: Home Health Speech-Language Pathology
A53057Billing and Coding: Home Health Occupational Therapy
A53058Billing and Coding: Home Health Physical Therapy

Alphabetic index entries that lead here

Syndrome›Lambert-Eaton›in›neoplastic disease

Code history

Unchanged in every release from FY2024 to FY2027.