ICD-10 G71.033
Billable / Specific HCC v28: 76Limb girdle muscular dystrophy due to dysferlin dysfunction
About ICD-10-CM G71.033
ICD-10-CM code G71.033 represents Limb girdle muscular dystrophy due to dysferlin dysfunction. This is a billable/specific code in the Nervous System chapter (block G71). The 2026 edition of ICD-10-CM G71.033 became effective on October 1, 2025.
Coding Tips for G71.033
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
G71.033 is a CMS-HCC v28 risk-adjustment code (category 76). To count for the patient Risk Adjustment Factor (RAF), document the diagnosis with MEAT language each calendar year: Monitored, Evaluated, Assessed, Treated. A diagnosis on the problem list alone does not satisfy CMS RADV audit standards. Include the diagnosis in the assessment with current status and current treatment plan.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under G71.033. Per CMS ICD-10-CM Tabular 2026.
- Dysferlinopathy
- LGMD R2 dysferlin-related
- Limb girdle muscular dystrophy type 2B
- Miyoshi Myopathy type 1
Medicare Advantage HCC Impact
Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.
Medicare LCD Coverage for G71.033
Local Coverage Determinations (LCDs) from CMS MACs that list G71.033 as a covered diagnosis.
Showing top 10 of 561 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing G71.033.
3 Cigna
5 Medicare
CPT Codes Commonly Billed with G71.033
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To G71.033
Other codes in section G70-G73 (Diseases of myoneural junction and muscle).
ICD-10 G71.033, Billing FAQ
Is ICD-10 code G71.033 billable? +
Yes, G71.033 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to G71.033? +
ICD-10 G71.033 includes: Dysferlinopathy; LGMD R2 dysferlin-related; Limb girdle muscular dystrophy type 2B, and 1 more clinical synonyms.
Does G71.033 affect Medicare Advantage HCC risk adjustment? +
Yes. G71.033 maps to CMS-HCC v28 category 76. Capture this diagnosis annually for accurate Medicare Advantage risk score.
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team