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

ICD-10 G73.7

Billable / Specific

Myopathy in diseases classified elsewhere

G73
Block
0
Synonyms
229
LCDs
19
Payer Policies
0
Linked CPTs

About ICD-10-CM G73.7

ICD-10-CM code G73.7 represents Myopathy in diseases classified elsewhere. This is a billable/specific code in the Nervous System chapter (block G73). The 2026 edition of ICD-10-CM G73.7 became effective on October 1, 2025.

Type 1 Excludes

Pure excludes, these codes can never be coded together with G73.7. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • myopathy in:
  • rheumatoid arthritis (M05.32)
  • sarcoidosis (D86.87)
  • scleroderma (M34.82)
  • Sjögren syndrome (M35.03)
  • systemic lupus erythematosus (M32.19)

Coding Notes

Code First

  • underlying disease, such as:
  • glycogen storage disease (E74.0-)
  • hyperparathyroidism (E21.0, E21.3)
  • hypoparathyroidism (E20.-)
  • lipid storage disorders (E75.-)

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 G73.7

Local Coverage Determinations (LCDs) from CMS MACs that list G73.7 as a covered diagnosis.

229 LCDs

Showing top 10 of 229 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95909 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95887 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95912 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95999 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95910 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95870 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95860 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95913 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95869 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT G0255 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing G73.7.

19 policies

5 Aetna

Orthopedic Casts, Braces and Splints - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0009
Chest Physiotherapy and Airway Clearance Devices - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0067
Positive Pressure Ventilation
Policy ID: CPB-0452
Seat Lifts and Patient Lifts
Policy ID: CPB-0459
Heart Transplantation
Policy ID: CPB-0586

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: Nerve Conduction Studies and Electromyography
Policy ID: ART-54095
Billing and Coding: Nerve Conduction Studies and Electromyography
Policy ID: ART-54969
Billing and Coding: Assays for Vitamins and Metabolic Function
Policy ID: ART-56416

CPT Codes Commonly Billed with G73.7

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

No procedure linkages on file for G73.7

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.

Convert G73.7 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
G73.7 3595 10000

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

ICD-10 G73.7, Billing FAQ

Is ICD-10 code G73.7 billable? +

Yes, G73.7 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What codes are Type 1 Excludes for G73.7? +

Type 1 Excludes (never code together with G73.7): myopathy in:; rheumatoid arthritis (M05.32); sarcoidosis (D86.87)

What ICD-9 codes does G73.7 map to? +

Per CMS GEMs, G73.7 maps to ICD-9 codes: 3595. 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 June 1, 2026.

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