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G72.81

Billable

Critical illness myopathy

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Severe muscle weakness that develops in critically ill patients, often related to prolonged ICU stay, sepsis, or mechanical ventilation. Muscles become weak and may not recover quickly.

Coding Tips

  • This code should only be used for patients in critical care settings; document the underlying critical illness that precipitated the myopathy
  • Coordinate coding with the primary reason for ICU admission to establish the causal relationship

Code Hierarchy

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