2027 ICD-10-CM Diagnosis Code G71.038Other limb girdle muscular dystrophy

ICD-10-CM Codes›G00–G99›G70-G73›G71

ICD-10-CM G71.038
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

G71.038 is a billable ICD-10-CM diagnosis code for other limb girdle muscular dystrophy. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 91 through 93. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Myopathies.

For Medicare Advantage risk adjustment, G71.038 maps to CMS-HCC Category 197 (Muscular Dystrophy) under the V28 model, adding a risk factor of about 0.426 for a community, non-dual, aged beneficiary in payment year 2027.

Code Identity

ICD-10-CM Code
G71.038
Billable Status
Yes — Valid for Submission
Code Describes
Other limb girdle muscular dystrophy
Short Description
Other limb girdle muscular dystrophy
Same as the full description in the CMS dataset.
Parent Code
G71.03
Limb girdle muscular dystrophies

Code Classification

ChapterG00–G99Diseases of the nervous system
SectionG70-G73Diseases of myoneural junction and muscle
CategoryG71Primary disorders of muscles
This CodeG71.038Other limb girdle muscular dystrophy

Medicare Risk Adjustment (HCC)Billing

G71.038 maps to a payment category in the CMS-HCC model used to risk-adjust Medicare Advantage payments. Weights are the published community factors for payment year 2027.

CMS-HCC V28 Category (Payment Model)
HCC 197— Muscular Dystrophy
Payment HCC · PY 2027 one of 21 ICD-10-CM codes in this category
Risk Adjustment Factor (RAF) Weight
+0.426
community, non-dual, aged · ranges 0.145–0.681 across segments
Hierarchy
Top of its hierarchy
HCC 197 is not superseded by any other condition category
Prior Model (CMS-HCC V24)
HCC 76
V24 retired V28 pays 100% of MA risk scores since PY 2026
Other CMS Models
PACE (CMS-HCC V22): HCC 76 · ESRD (V21): HCC 76 · ESRD (V24): HCC 76
ESRD V21 weights: 0.062 dialysis, 0.296–0.544 functioning graft · ESRD V24 weights: 0.136 dialysis, 0.322–0.842 functioning graft
Part D (RxHCC)
Not mapped
G71.038 does not risk-adjust in the RxHCC prescription drug model

Source: CMS Payment Year 2027 risk adjustment mappings and model software. Weights are relative factors, not dollar amounts; a beneficiary's total RAF also includes demographics and interactions. Browse all CMS-HCC categories.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Autosomal recessive limb girdle muscular dystrophy type 2A
  • Autosomal recessive limb girdle muscular dystrophy type 2B
  • Autosomal recessive limb girdle muscular dystrophy type 2C
  • Autosomal recessive limb girdle muscular dystrophy type 2D
  • Autosomal recessive limb girdle muscular dystrophy type 2E
  • Autosomal recessive limb girdle muscular dystrophy type 2F
  • Autosomal recessive limb girdle muscular dystrophy type 2G
  • Autosomal recessive limb girdle muscular dystrophy type 2I
  • Autosomal recessive limb girdle muscular dystrophy type 2J
  • Autosomal recessive limb girdle muscular dystrophy type 2K
  • Autosomal recessive limb girdle muscular dystrophy type 2L
  • Autosomal recessive limb girdle muscular dystrophy type 2M
  • Autosomal recessive limb girdle muscular dystrophy type 2N
  • Autosomal recessive limb girdle muscular dystrophy type 2O
  • Autosomal recessive limb girdle muscular dystrophy type 2P
  • Autosomal recessive limb girdle muscular dystrophy type 2Q
  • Autosomal recessive limb girdle muscular dystrophy type 2S
  • Autosomal recessive limb girdle muscular dystrophy type 2T
  • Autosomal recessive limb girdle muscular dystrophy type 2U
  • Autosomal recessive limb girdle muscular dystrophy type 2Y
  • Autosomal recessive muscular dystrophy with limb girdle distribution
  • BVES-related limb girdle muscular dystrophy
  • Childhood-onset progressive contractures, limb girdle weakness, muscle dystrophy syndrome
  • Laminin alpha-2 related limb girdle muscular dystrophy R23
  • Limb girdle muscular dystrophy due to POMK deficiency
  • LIMS2-related limb girdle muscular dystrophy
  • Muscular dystrophy with predominantly proximal limb girdle distribution
  • POMGNT2-related limb girdle muscular dystrophy R24
  • X-linked limb girdle muscular dystrophy with normal dystrophin
  • X-linked muscular dystrophy not predominantly limb girdle
  • X-linked muscular dystrophy with limb girdle distribution

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to G71.038: its own notes plus those printed at G71 and Chapter 6. A note printed at a category, block or chapter applies to every code under it.

Applicable To

Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.

  • LGMD R22 collagen 6-related
  • Other autosomal recessive limb girdle muscular dystrophy

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.

From G71 Primary disorders of muscles applies to 28 codes
  • arthrogryposis multiplex congenita (Q74.3)
  • metabolic disorders (E70-E88)
  • myositis (M60.-)
From Chapter 6 (G00-G99) Diseases of the nervous system applies to 700 codes
  • 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.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name G71.038, its category, or a range that includes it.

Excludes2 1

These codes carry an Excludes2 note naming G71.038: its condition is not part of those codes, and both may be reported when the patient has both.

  • Block M60-M63 Disorders of muscles
    muscular dystrophies and myopathies (G71-G72) names G71-G72, which includes this code

Code First 2

These codes say to code first a condition named in the note, and G71.038 is one of the conditions named.

  • M62.84 Sarcopenia
    primary disorders of muscles (G71.-) names G71.-, which includes this code
  • Z99.3 Dependence on wheelchair
    muscular dystrophy (G71.0-) names G71.0-, which includes this code

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR NVS018
Myopathies
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Muscular Dystrophies, Limb-Girdle

    a heterogenous group of inherited muscular dystrophy that can be autosomal dominant or autosomal recessive. there are many forms (called lgmds) involving genes encoding muscle membrane proteins such as the sarcoglycan (sarcoglycans) complex that interacts with dystrophin. the disease is characterized by progressing wasting and weakness of the proximal muscles of arms and legs around the hips and shoulders (the pelvic and shoulder girdles).

Patient EducationClinical

Limb-girdle muscular dystrophy

The limb-girdle muscular dystrophies are a group of diseases that cause muscle weakness (myopathy) and wasting (atrophy). The muscles that are most affected are those closest to the center of the body (proximal muscles), specifically the muscles of the shoulders, upper arms, hips, and thighs.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Code History & ChangesHistory

Replacement G71.038 replaces the following previously assigned code(s):

  • G71.09 - Other specified muscular dystrophies
FY 2023AddedAdded to the ICD-10-CM code setEffective October 1, 2022.
FY 2024–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About G71.038Overview

What is the ICD-10 code for other limb girdle muscular dystrophy?

The ICD-10-CM code for other limb girdle muscular dystrophy is G71.038 (sometimes written as G71038). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is G71.038 (Limb girdle muscular dystrophies) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report other limb girdle muscular dystrophy on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does G71.038 group to?

When other limb girdle muscular dystrophy is the principal diagnosis on an inpatient stay, it groups to MS-DRG 91, 92, 93, with relative weights from 0.7783 to 1.7050 depending on complications. Higher weights mean higher Medicare reimbursement.

What HCC is G71.038?

G71.038 (other limb girdle muscular dystrophy) maps to CMS-HCC Category 197 (Muscular Dystrophy), commonly written as HCC 197, in the CMS-HCC V28 model used for Medicare Advantage risk adjustment in payment year 2027. It mapped to HCC 76 under the retired V24 model. It also maps in the PACE (CMS-HCC V22), ESRD (V21), and ESRD (V24) models. It does not map to any RxHCC in the Part D prescription drug model.

Does G71.038 risk-adjust for Medicare Advantage payment?

Yes. When documented and reported on a Medicare Advantage encounter, G71.038 adds a risk adjustment factor of about 0.426 to the beneficiary's RAF score for a community, non-dual, aged enrollee (published V28 weights range from 0.145 to 0.681 depending on the payment segment). HCC 197 sits at the top of its hierarchy, so no other condition category supersedes it. See the full factor table on the HCC 197 category page.