G72.81 — Critical illness myopathy
Is G72.81 billable?
Yes — G72.81 is billable for FY2027. G72.81 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. G72.81 may be submitted for encounters from October 1, 2026 through September 30, 2027.
G72.81 at a glance
| Code | G72.81 |
|---|---|
| Description | Critical illness myopathy |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does G72.81 group to?
G72.81 sits in MDC 01 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 091Other Disorders of Nervous System with MCCmedical
- 092Other Disorders of Nervous System with CCmedical
- 093Other Disorders of Nervous System without CC/MCCmedical
As a secondary diagnosis, G72.81 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is G72.81 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to G72.81. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Myopathy › critical illness
- Myopathy › intensive care
- Myopathy › of critical illness
- Myopathy › acute › necrotizing
- Myopathy › acute › quadriplegic
Inclusion terms
Alternative wording in documentation that is classified to G72.81.
- Acute necrotizing myopathy
- Acute quadriplegic myopathy
- Intensive care (ICU) myopathy
- Myopathy of critical illness
Excludes1 — never code together — inherited from G72
The conditions below can never be reported together with G72.81 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes2 — not included here — inherited from Chapter 6
The conditions below are not part of G72.81, but a patient may have both at the same time. When documentation supports it, G72.81 and the excluded code may both be reported.
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
How long has G72.81 existed?
G72.81 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.