ICD-10 Coding for Duchenne Muscular Dystrophy(G71.01)
Complete ICD-10-CM coding and documentation guide for Duchenne Muscular Dystrophy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Duchenne Muscular Dystrophy
G71.0-G71.9Primary Range
Primary muscular disorders
This range includes codes for various muscular dystrophies, with G71.01 specifically for Duchenne or Becker muscular dystrophy.
Key Information: ICD-10 code for Duchenne's muscular dystrophy
Essential facts and insights about Duchenne Muscular Dystrophy
Primary ICD-10-CM Code for duchenne's muscular dystrophy
Decision Criteria
clinical Criteria
- Confirmed DMD gene mutation via genetic testing
documentation Criteria
- Detailed documentation of muscle weakness and genetic test results
Applicable To
- Duchenne muscular dystrophy
- Becker muscular dystrophy
Excludes
- Limb-girdle muscular dystrophy (G71.03)
Clinical Validation Requirements
- Genetic testing confirming DMD gene mutation
- Elevated creatine kinase (CK) levels
- Muscle biopsy showing absent dystrophin
Code-Specific Risks
- Misclassification if genetic testing is not documented
- Incorrect use if symptoms are not specific to Duchenne or Becker
Coding Notes
- Ensure genetic testing results are documented to support the use of G71.01.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Limb-girdle muscular dystrophy
G71.03Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Duchenne Muscular Dystrophy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G71.01.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to insufficient documentation.
Mitigation Strategy
Ensure all genetic test results are included in the patient's medical record., Train staff on the importance of detailed genetic documentation.
Impact
Reimbursement: Incorrect coding may lead to denied claims or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Impacts the accuracy of patient records and data analytics.
Mitigation Strategy
Always use G71.01 when genetic testing confirms Duchenne muscular dystrophy.
Impact
Lack of genetic test documentation may lead to audit issues.
Mitigation Strategy
Ensure all genetic test results are documented and easily accessible.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Duchenne Muscular Dystrophy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Duchenne Muscular Dystrophy
Use these documentation templates to ensure complete and accurate documentation for Duchenne Muscular Dystrophy. These templates include all required elements for proper coding and billing.
Neurology Clinic Visit for DMD
Specialty: NeurologyRequired Elements
- Patient history
- Genetic test results
- CK levels
- Functional status
- Cardiac evaluation
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Duchenne Muscular Dystrophy? Ask your questions below.