1. ICD-10-CM Codes
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2. G00-G99 Diseases of the nervous system
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3. G10-G14 Systemic atrophies primarily affecting the central nervous system
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4. G12- Spinal muscular atrophy and related syndromes
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2018 ICD-10-CM Diagnosis Code G12.22

Progressive bulbar palsy

2016 2017 2018 Billable/Specific Code

• G12.22 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
• The 2018 edition of ICD-10-CM G12.22 became effective on October 1, 2017.
• This is the American ICD-10-CM version of G12.22 - other international versions of ICD-10 G12.22 may differ.

• A motor neuron disease marked by progressive weakness of the muscles innervated by cranial nerves of the lower brain stem. Clinical manifestations include dysarthria, dysphagia, facial weakness, tongue weakness, and fasciculations of the tongue and facial muscles. The adult form of the disease is marked initially by bulbar weakness which progresses to involve motor neurons throughout the neuroaxis. Eventually this condition may become indistinguishable from amyotrophic lateral sclerosis. Fazio-londe syndrome is an inherited form of this illness which occurs in children and young adults. (Adams et al., Principles of Neurology, 6th ed, p1091; brain 1992 dec;115(pt 6):1889-1900)
• A progressive motor neuron disorder affecting the muscles which are innervated by cranial nerves of the lower brain stem. Signs and symptoms include difficulties in chewing and swallowing, dysarthria, and weakness of the facial muscles and tongue.

• 056 Degenerative nervous system disorders with mcc
• 057 Degenerative nervous system disorders without mcc

Convert G12.22 to ICD-9-CM

• 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
• 2017 (effective 10/1/2016): No change
• 2018 (effective 10/1/2017): No change

• Atrophy, atrophic (of)
  • palsy, diffuse G12.22 (progressive)
• Creeping
  • palsy or paralysis G12.22
• Disease, diseased - see also Syndrome
  • motor neuron (bulbar) (mixed type) (spinal) G12.20
    ICD-10-CM Diagnosis Code G12.20

    Motor neuron disease, unspecified

    2016 2017 2018 Billable/Specific Code
    • progressive bulbar palsy G12.22
• Duchenne's
  • disease or syndrome
    • motor neuron disease G12.22
  • paralysis
    • due to or associated with
      • motor neuron disease G12.22
• Palsy G83.9
  - see also Paralysis
  ICD-10-CM Diagnosis Code G83.9

  Paralytic syndrome, unspecified

  2016 2017 2018 Billable/Specific Code
  • bulbar (progressive) (chronic) G12.22
  • atrophic diffuse G12.22 (progressive)
  • creeping G12.22
• Paralysis, paralytic (complete) (incomplete) G83.9
  ICD-10-CM Diagnosis Code G83.9

  Paralytic syndrome, unspecified

  2016 2017 2018 Billable/Specific Code
  • atrophic G58.9
    ICD-10-CM Diagnosis Code G58.9

    Mononeuropathy, unspecified

    2016 2017 2018 Billable/Specific Code
    • progressive G12.22
  • bulbar (chronic) (progressive) G12.22
  • Duchenne's
    • due to or associated with
      • motor neuron disease G12.22
  • progressive (atrophic) (bulbar) (spinal) G12.22
  • creeping G12.22
• Polioencephalitis (acute) (bulbar) A80.9
  ICD-10-CM Diagnosis Code A80.9

  Acute poliomyelitis, unspecified

  2016 2017 2018 Billable/Specific Code
  • inferior G12.22
• Syndrome - see also Disease
  • bulbar G12.22 (progressive)

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.