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G12.0
Infantile spinal muscular atrophy, type I [Werdnig-Hoffman]
ICD10CM code
Medical Policies and Guidelines for Infantile spinal muscular atrophy, type I [Werdnig-Hoffman]
Related policies from health plans
CIGNA
Airway Clearance Devices in the Ambulatory Setting - (0069)
CIGNA
Anesthesia Services for Interventional Pain Management Procedures in an Adult - (0551)
CIGNA
Anesthesia Services for Interventional Pain Management Procedures in an Adult - (0551)
CIGNA
Anesthesia Services for Interventional Pain Management Procedures in an Adult - (0551)
CIGNA
Electrodiagnostic Testing (EMG/NCV) - (CPG129)
ANTHEM-BLUECROSS-CA
Spinraza (nusinersen)
CIGNA
Orthotic Devices and Shoes - (0543)
OSCAR
Zolgensma (onasemnogene abeparvovec-xioi) (CG061)
ANTHEM-BLUECROSS-CT
MED.00129 Gene Therapy for Spinal Muscular Atrophy
Similar Codes
ICD10CM codes
G12.0
- Infantile spinal muscular atrophy, type I [Werdnig-Hoffman]
G12.1
- Other inherited spinal muscular atrophy
G12.9
- Spinal muscular atrophy, unspecified
G12
- Spinal muscular atrophy and related syndromes
G12.8
- Other spinal muscular atrophies and related syndromes
G12.25
- Progressive spinal muscle atrophy
G71.0
- Muscular dystrophy
G71.11
- Myotonic muscular dystrophy
G12.24
- Familial motor neuron disease
G12.2
- Motor neuron disease
HCPCS codes
E1232
- Wheelchair, pediatric size, tilt-in-space, folding, adjustable, with seating system
L3204
- Orthopedic shoe, hightop with supinator or pronator, infant
T1024
- Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to
E0764
- Functional neuromuscular stimulation, transcutaneous stimulation of sequential muscle groups of ambu
E1236
- Wheelchair, pediatric size, folding, adjustable, with seating system
G9597
- Pediatric patient with minor blunt head trauma not classified as low risk according to the pecarn pr
E1234
- Wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating system
L3201
- Orthopedic shoe, oxford with supinator or pronator, infant
E1238
- Wheelchair, pediatric size, folding, adjustable, without seating system
E1233
- Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system
CPT4 codes
81337
- SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known fami
81336
- SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene
99480
- Subsequent intensive care, per day, for the evaluation and management of the recovering infant (pres
99478
- Subsequent intensive care, per day, for the evaluation and management of the recovering very low bir
64613
- Chemodenervation of muscle(s); neck muscle(s) (eg, for spasmodic torticollis, spasmodic dysphonia)
95860
- Needle electromyography; 1 extremity with or without related paraspinal areas
95870
- Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilat
99476
- Subsequent inpatient pediatric critical care, per day, for the evaluation and management of a critic
95869
- Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12)
81121
- IDH2 (isocitrate dehydrogenase 2 [NADP+], mitochondrial) (eg, glioma), common variants (eg, R140W, R