ICD-10 Coding for Charcot-Marie-Tooth Disease(G60.0)
Complete ICD-10-CM coding and documentation guide for Charcot-Marie-Tooth Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Charcot-Marie-Tooth Disease
G60-G64Primary Range
Polyneuropathies and other disorders of the peripheral nervous system
This range includes codes for various types of neuropathies, with G60.0 specifically covering hereditary motor and sensory neuropathy, including Charcot-Marie-Tooth disease.
Key Information: ICD-10 code for Charcot-Marie-Tooth
Essential facts and insights about Charcot-Marie-Tooth Disease
Primary ICD-10-CM Code for charcot marie tooth
Decision Criteria
clinical Criteria
- Genetic testing confirms PMP22 duplication or MFN2 mutation.
documentation Criteria
- Detailed clinical documentation of symptoms and genetic test results.
Applicable To
- Charcot-Marie-Tooth disease
- Peroneal muscular atrophy
- Déjérine-Sottas disease
Clinical Validation Requirements
- Genetic testing confirming PMP22 duplication or MFN2 mutation
- Electrodiagnostic studies showing demyelinating or axonal neuropathy
- Physical examination indicating distal muscle weakness and foot deformities
Code-Specific Risks
- Confusing with other neuropathies such as G62.9 when CMT is confirmed
Coding Notes
- Ensure genetic and clinical confirmation of CMT before coding. Avoid using unspecified codes when specific diagnosis is available.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Other acquired deformities of limbs
M21.6X-Difficulty in walking, not elsewhere classified
R26.2Muscle weakness (generalized)
M62.81Family history of other specified conditions
Z84.89Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Charcot-Marie-Tooth Disease to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G60.0.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials due to lack of specificity.
Mitigation Strategy
Ensure detailed documentation of genetic and clinical findings., Use specific ICD-10 codes when diagnosis is confirmed.
Impact
Reimbursement: Incorrect coding may lead to denied claims or incorrect DRG assignment., Compliance: Non-compliance with coding guidelines for specific diagnoses., Data Quality: Inaccurate data collection and reporting for hereditary neuropathies.
Mitigation Strategy
Use G60.0 when CMT is confirmed by genetic testing and clinical documentation.
Impact
Lack of genetic testing documentation for CMT coding.
Mitigation Strategy
Require genetic test results before coding G60.0.
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 Charcot-Marie-Tooth Disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Charcot-Marie-Tooth Disease
Use these documentation templates to ensure complete and accurate documentation for Charcot-Marie-Tooth Disease. These templates include all required elements for proper coding and billing.
Neurology Progress Note
Specialty: NeurologyRequired Elements
- Patient history
- Genetic test results
- Clinical examination findings
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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