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G31.82

Billable

Leigh's disease

HCC Category Mapping

V28HCC 127Dementia, Mild or Unspecified
0.464
RxHCCHCC 112Dementia and Other Specified Brain Disorders
0.000

What This Code Means

Leigh's disease is a rare inherited neurological disorder affecting energy production in cells, causing progressive brain and muscle deterioration, typically starting in infancy.

Coding Tips

  • This is a mitochondrial disorder; document genetic confirmation when available
  • Code associated symptoms such as seizures, respiratory issues, and cardiac involvement separately

Clinical Significance

Leigh's disease (subacute necrotizing encephalomyelopathy) is a severe inherited mitochondrial disorder affecting cellular energy production. It causes progressive neurological deterioration including loss of motor skills, breathing difficulties, and organ dysfunction. The diagnosis reflects one of the most serious pediatric neurological conditions, requiring intensive multidisciplinary management.

Documentation Requirements

  • Documentation specifically identifying Leigh's disease or subacute necrotizing encephalomyelopathy
  • Neuroimaging (MRI) showing characteristic bilateral symmetric lesions in basal ganglia and brainstem
  • Genetic or metabolic testing confirming mitochondrial dysfunction
  • Documentation of progressive neurological symptoms (developmental regression, hypotonia, respiratory compromise)
  • Metabolic workup results including lactate levels
  • Current treatment plan addressing nutritional, respiratory, and neurological management

Commonly Confused Codes

Code Hierarchy

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