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ICD-10-CM Code G32.0
Subacute combined degeneration of spinal cord in diseases classified elsewhere

BILLABLE
Billable Code
Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.
Manifestation
Manifestation Code
Certain ICD-10-CM codes identify an underlying condition known as an etiology code. Conditions that arise as a result of an underlying condition (etiology), are referred to as Manifestations. In ICD-10-CM, etiology codes must be coded first, followed by the manifestation codes. When a condition requires etiology and manifestation codes, there is a "use additional code" note following the etiology code and a "code first" note following the manifestation code.
| ICD-10 from 2011 - 2016

G32.0 is a billable ICD code used to specify a diagnosis of subacute combined degeneration of spinal cord in diseases classified elsewhere. A 'billable code' is detailed enough to be used to specify a medical diagnosis.


The ICD code G320 is used to code Subacute combined degeneration of spinal cord

Subacute combined degeneration of spinal cord, also known as Lichtheim's disease, refers to degeneration of the posterior and lateral columns of the spinal cord as a result of vitamin B12 deficiency (most common), vitamin E deficiency, and copper deficiency. It is usually associated with pernicious anemia.

Specialty: Endocrinology
MeSH Codes: D052879, D052879
ICD 9 Codes: 336.2, 266.2

Diagram of the principal fasciculi of the spinal cord. (In subacute combined degeneration of spinal cord, the "combined" refers to the fact that the dorsal columns and lateral corticospinal tracts are both affected, in contrast to tabes dorsalis which is selective for the dorsal columns.)

Source: Wikipedia

Coding Notes for G32.0 Info for medical coders on how to properly use this ICD-10 code

Inclusion Terms:
Inclusion Terms
Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive.
Dana-Putnam syndrome
Sclerosis of spinal cord (combined) (dorsolateral) (posterolateral)
codeFirst:
Underlying disease, such as:
Anemia See code D51.9
Dietary See code D51.3
Pernicious See code D51.0
Vitamin See Code B12 deficiency (E53.8)
Code Type-1 Excludes:
Type-1 Excludes
Type-1 Excludes mean the conditions excluded are mutually exclusive and should never be coded together. Excludes 1 means "do not code here."
Syphilitic combined degeneration of spinal cord - instead, use code A52.11

MS-DRG Mapping

  • DRG Group #091-093 - Other disorders of nervous system with MCC.
  • DRG Group #091-093 - Other disorders of nervous system with CC.
  • DRG Group #091-093 - Other disorders of nervous system without CC or MCC.

Coding Advice SNOMET-CT

  • This code is not to be used in the primary position
  • Consider additional code to identify specific condition or disease

Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)

Subacute combined degeneration of spinal cord in diseases classified elsewhere (exact match)

This is the official exact match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that in all cases where the ICD9 code 336.2 was previously used, G32.0 is the appropriate modern ICD10 code.


Parent Code: G32 - Other degenerative disorders of nervous system in diseases classified elsewhere

** This Document Provided By ICD.Codes **
Source: http://icd.codes/icd10cm/G320