2027 ICD-10-CM Diagnosis Code G12Spinal muscular atrophy and related syndromes
G12 is a non-billable ICD-10-CM category code for spinal muscular atrophy and related syndromes, so it cannot be submitted on claims. Use a more specific code from this category instead, such as G12.0, G12.1, G12.20, and G12.21.
Code Identity
Code Classification
Specific Coding for Spinal muscular atrophy and related syndromesOverview
Non-specific codes like G12 require more characters. Use one of these billable codes instead:
Use G12.0 for Infantile spinal muscular atrophy, type I [Werdnig-Hoffman]
Use G12.1 for Other inherited spinal muscular atrophy
G12.2 for Motor neuron disease
Use G12.20 for Motor neuron disease, unspecified
Use G12.21 for Amyotrophic lateral sclerosis
Use G12.22 for Progressive bulbar palsy
Use G12.23 for Primary lateral sclerosis
Use G12.24 for Familial motor neuron disease
Use G12.25 for Progressive spinal muscle atrophy
Use G12.29 for Other motor neuron disease
Use G12.8 for Other spinal muscular atrophies and related syndromes
Use G12.9 for Spinal muscular atrophy, unspecified
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to G12: its own notes plus those printed at Chapter 6. A note printed at a category, block or chapter applies to every code under it.
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Patient EducationClinical
Spinal Muscular Atrophy
Spinal muscular atrophy (SMA) is a group of genetic diseases that damages and kills motor neurons. Motor neurons are a type of nerve cell in the spinal cord and lower part of the brain. They control movement in your arms, legs, face, chest, throat, and tongue.
The full article covers:
- What is spinal muscular atrophy (SMA)?
- What are the types of spinal muscular atrophy (SMA) and what are their symptoms?
- What causes spinal muscular atrophy (SMA)?
- How is spinal muscular atrophy (SMA) diagnosed?
- What are the treatments for spinal muscular atrophy (SMA)?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Code HistoryHistory
Questions About G12Overview
What is the ICD-10 code for spinal muscular atrophy and related syndromes?
G12 is the ICD-10-CM category for spinal muscular atrophy and related syndromes, but it is a non-billable header: claims need a more specific code from this category, listed on this page.
Is G12 (Spinal muscular atrophy and related syndromes) a billable code?
No. This is a category header that groups the codes for spinal muscular atrophy and related syndromes, and headers cannot be submitted on claims. Claims for spinal muscular atrophy and related syndromes need a more specific code from this category, such as G12.0, G12.1, and G12.20.