Find information on peripheral neuropathy diagnosis, including clinical documentation, medical coding, and ICD-10 codes. Learn about symptoms, causes, and treatment options for peripheral neuropathy. Explore resources for healthcare professionals on documenting and coding peripheral neuropathy in medical records, including specific codes like G62.9 and related terms like diabetic neuropathy and polyneuropathy. This resource provides essential information for accurate clinical documentation and medical billing related to peripheral neuropathy.
Also known as
Polyneuropathies and other disorders of the PNS
Covers various peripheral nerve disorders, including many types of polyneuropathy.
Mononeuropathies of upper limb and mononeuritis multiplex
Includes specific nerve disorders like carpal tunnel and mononeuritis multiplex.
Myoneural diseases and other neuromuscular disorders
Includes conditions affecting the connection between nerves and muscles, sometimes causing neuropathy-like symptoms.
Diabetes mellitus
Diabetic neuropathy is a common type of peripheral neuropathy, coded under the underlying diabetes.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the peripheral neuropathy due to diabetes?
Yes
Code as G63.2 Diabetic polyneuropathy
No
Due to alcohol use?
When to use each related code
| Description |
|---|
| Peripheral Neuropathy |
| Diabetic Neuropathy |
| Carpal Tunnel Syndrome |
Coding neuropathy without specifying type (e.g., diabetic, toxic) leads to inaccurate DRG assignment and lost revenue.
Coding symptoms (e.g., numbness, tingling) instead of the underlying neuropathy diagnosis understates severity and impacts quality metrics.
Failing to document and code laterality (right, left, bilateral) for peripheral neuropathy can lead to claim denials and underpayment.
Patient presents with complaints consistent with peripheral neuropathy. Symptoms include distal paresthesias, described as numbness, tingling, and burning sensations, primarily affecting the bilateral feet and extending up to the ankles. Onset was gradual over several months. Patient denies any recent trauma, infection, or known toxic exposures. Medical history includes type 2 diabetes mellitus, well-controlled with metformin. Family history is negative for neurological disorders. Physical examination reveals diminished sensation to light touch and pinprick in a stocking-glove distribution. Ankle reflexes are hypoactive bilaterally. Vibratory sensation is reduced in the lower extremities. Strength is preserved. Diagnostic considerations include diabetic peripheral neuropathy, idiopathic peripheral neuropathy, and vitamin B12 deficiency. Initial laboratory workup will include a complete blood count (CBC), comprehensive metabolic panel (CMP), hemoglobin A1c (HbA1c), vitamin B12 levels, and thyroid stimulating hormone (TSH). Electromyography (EMG) and nerve conduction studies (NCS) are scheduled to assess nerve function. Differential diagnosis also includes small fiber neuropathy and other causes of peripheral neuropathy. Treatment plan includes patient education on foot care and the importance of glucose control. Pharmacological management options for neuropathic pain, such as gabapentin or pregabalin, will be considered based on symptom severity and patient response. Follow-up appointment scheduled in four weeks to review laboratory results, discuss EMG/NCS findings, and adjust treatment plan as indicated. Patient advised to return sooner if symptoms worsen.