Find information on hand numbness diagnosis, including causes, symptoms, and treatment options. Explore clinical documentation guidelines, ICD-10 codes (G58.x), medical coding for paresthesia, peripheral neuropathy, carpal tunnel syndrome, cervical radiculopathy, and other related conditions. Learn about nerve conduction studies, EMG, and differential diagnosis for hand numbness from a healthcare perspective. This resource provides relevant information for physicians, clinicians, and medical coders seeking accurate and comprehensive details about hand numbness.
Also known as
Symptoms and signs involving skin and subcutaneous tissue
Includes numbness and other sensory disturbances of the skin.
Nerve root and plexus disorders
Nerve compressions can cause hand numbness.
Dorsalgia
Neck problems can lead to radiating numbness in the hand.
Polyneuropathies and other disorders of the peripheral nervous system
Conditions affecting the peripheral nerves can cause numbness.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the numbness traumatic in origin?
Yes
Is there nerve injury?
No
Is it due to Carpal Tunnel?
When to use each related code
Description |
---|
Hand numbness |
Carpal tunnel syndrome |
Cubital tunnel syndrome |
Patient presents with complaints of hand numbness, a symptom potentially indicative of several underlying conditions. Onset, duration, location, and character of the numbness were explored to differentiate between possible diagnoses such as carpal tunnel syndrome, ulnar neuropathy, cervical radiculopathy, peripheral neuropathy, or other neurological disorders. The patient described the numbness as (insert patient's description of numbness: e.g., tingling, pins and needles, burning, etc.) affecting the (insert affected area: e.g., palmar aspect of the hand, specific digits, radial side, ulnar side, entire hand, etc.) and reported the onset as (insert timeframe: e.g., gradual, sudden, intermittent, constant, etc.) (Insert duration: e.g., days, weeks, months, years, etc.). Associated symptoms such as pain, weakness, swelling, discoloration, or changes in temperature were also investigated. Physical examination included assessment of sensation, muscle strength, reflexes, and range of motion in the affected hand and upper extremity. Phalen's maneuver, Tinel's sign, and other relevant tests were performed with results noted. Differential diagnoses include carpal tunnel syndrome, cubital tunnel syndrome, radial nerve entrapment, cervical disc herniation, brachial plexus injury, thoracic outlet syndrome, diabetic neuropathy, and multiple sclerosis. Further investigations may include nerve conduction studies, electromyography, imaging studies such as X-ray, MRI, or CT scan, and blood tests to evaluate for underlying systemic conditions. Initial treatment plan includes (insert treatment plan: e.g., conservative management with splinting, activity modification, over-the-counter pain relievers, referral to physical therapy or occupational therapy, prescription medications such as corticosteroids or neuropathic pain medications, further diagnostic testing, or specialist referral to neurology, orthopedics, or hand surgery). Patient education regarding proper hand and wrist posture, ergonomic modifications, and home exercises was provided. Follow-up appointment scheduled in (insert timeframe) to reassess symptoms and adjust treatment plan as needed.