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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

Airway Clearance Devices in the Ambulatory Setting - (0069)
Anesthesia Services for Interventional Pain Management Procedures in an Adult - (0551)
Anesthesia Services for Interventional Pain Management Procedures in an Adult - (0551)
Anesthesia Services for Interventional Pain Management Procedures in an Adult - (0551)
Electrodiagnostic Testing (EMG/NCV) - (CPG129)
Spinraza (nusinersen)
Orthotic Devices and Shoes - (0543)
Zolgensma (onasemnogene abeparvovec-xioi) (CG061)
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