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G57.90
ICD-10-CM
Lower Extremity Neuropathy

Find information on lower extremity neuropathy diagnosis, including clinical documentation, medical coding, and healthcare resources. Learn about ICD-10 codes for peripheral neuropathy, sensory neuropathy, motor neuropathy, and related lower limb neurological conditions. Explore symptoms, causes, and treatment options for lower extremity neuropathy with relevant medical terminology for accurate documentation and coding. This resource provides guidance for healthcare professionals on properly diagnosing and documenting lower extremity neuropathy in clinical settings.

Also known as

Peripheral Neuropathy of the Legs
Leg Neuropathy

Diagnosis Snapshot

Key Facts
  • Definition : Nerve damage in legs/feet causing pain, numbness, weakness.
  • Clinical Signs : Burning, tingling, muscle weakness, loss of sensation, balance problems.
  • Common Settings : Diabetes, chemotherapy, alcohol abuse, vitamin deficiencies.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC G57.90 Coding
G62.8

Other mononeuropathies

Lower extremity neuropathy can manifest as various mononeuropathies.

G62.9

Mononeuropathy, unspecified

Used when a specific mononeuropathy causing lower extremity symptoms is not identified.

G63.2

Polyneuropathy in other diseases classified elsewhere

If the neuropathy is due to another condition (e.g., diabetes), code the underlying disease first.

M79.2

Neuralgia and neuritis, unspecified

A more general category for nerve pain and inflammation in the lower extremities.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the neuropathy due to diabetes?

  • Yes

    Site of neuropathy?

  • No

    Is there a known cause?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Lower Extremity Neuropathy
Diabetic Peripheral Neuropathy
Post-herpetic Neuralgia

Documentation Best Practices

Documentation Checklist
  • Lower extremity neuropathy diagnosis documented
  • Laterality (right, left, bilateral) specified
  • Neuropathy etiology documented (e.g., diabetic, idiopathic)
  • Symptoms and physical exam findings detailed
  • ICD-10 code (e.g., G62.9, G63.2) assigned

Coding and Audit Risks

Common Risks
  • Unspecified Laterality

    Coding neuropathy without specifying right, left, or bilateral can lead to denials and inaccurate data. Use specific laterality codes for proper reimbursement.

  • Lack of Etiology Documentation

    Missing documentation of the underlying cause (diabetes, trauma, etc.) impacts coding accuracy and CDI. Specify the cause for accurate code assignment.

  • Mononeuropathy vs. Polyneuropathy

    Incorrectly coding single nerve (mononeuropathy) vs. multiple nerve (polyneuropathy) involvement leads to coding errors. Ensure documentation clarity for accurate coding.

Mitigation Tips

Best Practices
  • Thorough exam: Document sensory, motor, reflex deficits. ICD-10 G62.8, G62.9
  • NCS/EMG testing: Confirm diagnosis, rule out other causes. CPT 95903, 95904
  • Detailed HPI: Onset, duration, location, character of pain. CDI best practice
  • Medication reconciliation: Identify contributing drugs. Compliance, patient safety
  • Comorbidities: Document diabetes, B12 deficiency. ICD-10 G63.2, E53.8

Clinical Decision Support

Checklist
  • Confirm sensory loss, weakness, pain in legs/feet
  • Document symptom duration, onset, distribution
  • Evaluate reflexes, nerve conduction studies
  • Rule out other causes (diabetes, B12 deficiency)

Reimbursement and Quality Metrics

Impact Summary
  • Lower Extremity Neuropathy Reimbursement: Coding accuracy impacts payments. Focus on ICD-10 G62.8x for peripheral, G63.2 for hereditary/idiopathic, and specify laterality (right/left). Proper documentation supports medical necessity.
  • Quality Metrics Impact: Neuropathy documentation affects hospital quality reporting on pain management, functional status, and patient satisfaction. Accurate coding ensures appropriate risk adjustment.
  • Coding Accuracy: Precise coding (ICD-10, CPT) for neuropathy type, etiology, and severity is crucial for accurate reimbursement and quality data. Avoid unspecified codes for optimal claims processing.
  • Hospital Reporting: Complete neuropathy documentation, including symptoms, assessments, and treatment plans, improves hospital data accuracy for quality reporting and resource allocation.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes. Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code G62.8 for unspecified neuropathy
  • Document symptoms & exam findings
  • Specify laterality: right, left, bilateral
  • Link to diabetes, chemo if applicable
  • Consider EMG/NCS findings for coding

Documentation Templates

Patient presents with complaints consistent with lower extremity neuropathy.  Symptoms include peripheral neuropathy pain, numbness, tingling, and burning sensations in the feet and legs.  Onset of symptoms was gradual and has been progressive over the past [timeframe].  The patient reports [intermittent or constant] discomfort, exacerbated by [exacerbating factors, e.g., walking, standing, touch].  The patient denies [negative symptoms, e.g., muscle weakness, bowel or bladder incontinence].  Physical examination reveals [positive findings, e.g., decreased sensation to light touch and pinprick in a stocking-glove distribution, diminished ankle reflexes, allodynia].  Differential diagnosis includes diabetic neuropathy, peripheral artery disease, vitamin B12 deficiency, and chemotherapy-induced peripheral neuropathy.  Assessment: Lower extremity peripheral neuropathy, likely [etiology if known, e.g., diabetic peripheral neuropathy].  Plan:  Ordered laboratory tests including [relevant tests, e.g., HbA1c, vitamin B12 levels, complete blood count].  Patient education provided on neuropathy management, including foot care and fall prevention.  Discussed medication options for neuropathic pain, including gabapentin and pregabalin.  Follow-up appointment scheduled in [timeframe] to review lab results and assess symptom improvement.  ICD-10 code: [relevant ICD-10 code, e.g., G65.2 for Diabetic polyneuropathy].  Medical billing codes will be determined based on services provided.