ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 G71.14

Billable / Specific

Drug induced myotonia

G71
Block
0
Synonyms
624
LCDs
17
Payer Policies
2
Linked CPTs

About ICD-10-CM G71.14

ICD-10-CM code G71.14 represents Drug induced myotonia. This is a billable/specific code in the Nervous System chapter (block G71). The 2026 edition of ICD-10-CM G71.14 became effective on October 1, 2025.

Use Additional Code

When coding G71.14, also report these additional codes when applicable.

  • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

Medicare Advantage HCC Impact

ESRD-HCC
Category 75

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 G71.14

Local Coverage Determinations (LCDs) from CMS MACs that list G71.14 as a covered diagnosis.

624 LCDs

Showing top 10 of 624 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94660 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94726 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94664 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94618 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94772 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94642 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT G0238 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94004 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94668 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94680 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing G71.14.

17 policies

1 Cigna

Electrodiagnostic Testing (EMG/NCV) - (CPG129)
Policy ID: CPG129_EMG_NCV_SSEP

5 Medicare

High Frequency Chest Wall Oscillation Devices - Policy Article
Policy ID: ART-52494
Mechanical In-exsufflation Devices - Policy Article
Policy ID: ART-52510
Billing and Coding: Home Health Speech-Language Pathology
Policy ID: ART-53052
Billing and Coding: Home Health Occupational Therapy
Policy ID: ART-53057
Billing and Coding: Home Health Physical Therapy
Policy ID: ART-53058

CPT Codes Commonly Billed with G71.14

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

2 linkages
  • G0161 CMS LCD: Billing and Coding: Home Health Speech-Language Pathology CMS LCD
  • G0153 CMS LCD: Billing and Coding: Home Health Speech-Language Pathology CMS LCD

Convert G71.14 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
G71.14 35924 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 G71.14, Billing FAQ

Is ICD-10 code G71.14 billable? +

Yes, G71.14 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What CPT codes are commonly billed with G71.14? +

Procedures frequently paired with G71.14 include: G0161, G0153.

What ICD-9 codes does G71.14 map to? +

Per CMS GEMs, G71.14 maps to ICD-9 codes: 35924. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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