ICD-10 G71.039
Billable / Specific HCC v28: 76Limb girdle muscular dystrophy, unspecified
About ICD-10-CM G71.039
ICD-10-CM code G71.039 represents Limb girdle muscular dystrophy, unspecified. This is a billable/specific code in the Nervous System chapter (block G71). The 2026 edition of ICD-10-CM G71.039 became effective on October 1, 2025.
Coding Tips for G71.039
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
G71.039 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.
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 G71.039
Local Coverage Determinations (LCDs) from CMS MACs that list G71.039 as a covered diagnosis.
Showing top 10 of 31 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing G71.039.
4 Cigna
4 Medicare
CPT Codes Commonly Billed with G71.039
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 G71.039
Other codes in section G70-G73 (Diseases of myoneural junction and muscle).
ICD-10 G71.039, Billing FAQ
Is ICD-10 code G71.039 billable? +
Yes, G71.039 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
Does G71.039 affect Medicare Advantage HCC risk adjustment? +
Yes. G71.039 maps to CMS-HCC v28 category 76. Capture this diagnosis annually for accurate Medicare Advantage risk score.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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