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ICD-10 Coding for Acute Inflammatory Demyelinating Polyradiculoneuropathy(G61.0)

Complete ICD-10-CM coding and documentation guide for Acute Inflammatory Demyelinating Polyradiculoneuropathy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Guillain-Barré SyndromeAIDP

Related ICD-10 Code Ranges

Complete code families applicable to Acute Inflammatory Demyelinating Polyradiculoneuropathy

G60-G64Primary Range

Polyneuropathies and other disorders of the peripheral nervous system

This range includes codes for various neuropathies, with G61.0 specifically for AIDP.

Key Information: ICD-10 code for acute inflammatory demyelinating polyradiculoneuropathy

Essential facts and insights about Acute Inflammatory Demyelinating Polyradiculoneuropathy

The ICD-10 code for acute inflammatory demyelinating polyradiculoneuropathy is G61.0.

Primary ICD-10-CM Code for acute inflammatory demyelinating polyradiculoneuropathy

Guillain-Barré syndrome
Billable Code

Decision Criteria

clinical Criteria

  • Acute onset of ascending weakness with areflexia

documentation Criteria

  • CSF analysis showing albuminocytologic dissociation

Applicable To

  • Acute inflammatory demyelinating polyradiculoneuropathy

Excludes

  • Chronic inflammatory demyelinating polyneuropathy (G61.81)

Clinical Validation Requirements

  • CSF protein >55 mg/dL with normal WBC
  • EMG/NCS showing demyelination

Code-Specific Risks

  • Misclassification with chronic forms like CIDP

Coding Notes

  • Ensure documentation supports acute onset and specific diagnostic criteria.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Acute respiratory failure, unspecified whether with hypoxia or hypercapnia

J96.00
Use when respiratory failure is a complication of AIDP.

Campylobacter enteritis

A04.5
Use when AIDP follows a Campylobacter infection.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Polyneuropathy, unspecified

G62.9
Use G61.0 for specific diagnosis of AIDP with confirmed clinical findings.

Hereditary and idiopathic neuropathy, unspecified

G60.9
Use G61.0 when acute inflammatory demyelination is confirmed.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Acute Inflammatory Demyelinating Polyradiculoneuropathy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G61.0.

Impact

Clinical: Inaccurate diagnosis and treatment planning., Regulatory: Potential audit issues., Financial: Denied claims due to insufficient documentation.

Mitigation Strategy

Ensure CSF results are part of the diagnostic workup., Review documentation before coding.

Impact

Reimbursement: Potential underpayment due to incorrect coding., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Ensure specific clinical criteria for AIDP are documented to use G61.0.

Impact

Risk of audits if CSF and EMG findings are not documented.

Mitigation Strategy

Ensure all diagnostic criteria are clearly documented in the patient's medical record.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Acute Inflammatory Demyelinating Polyradiculoneuropathy, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Acute Inflammatory Demyelinating Polyradiculoneuropathy

Use these documentation templates to ensure complete and accurate documentation for Acute Inflammatory Demyelinating Polyradiculoneuropathy. These templates include all required elements for proper coding and billing.

Neurology Progress Note

Specialty: Neurology

Required Elements

  • Subjective: Onset and progression of symptoms
  • Objective: Neurological exam findings
  • CSF and EMG/NCS results
  • Assessment and Plan

Example Documentation

**Subjective**: 'Worsening leg weakness over 72 hours, now involving respiratory muscles' **Objective**: Motor: 3/5 strength lower extremities, 4/5 upper extremities **Assessment**: G61.0 - Acute inflammatory demyelinating polyradiculoneuropathy **Plan**: IVIG 2g/kg over 5 days, monitor negative inspiratory force q4h

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has neuropathy.
Good Documentation Example
Patient presents with 7-day progression of ascending limb weakness, areflexia on exam, CSF protein 78 mg/dL (normal WBC), and EMG showing conduction block in 3 nerves.
Explanation
The good example provides specific clinical findings supporting the diagnosis of AIDP.

Need help with ICD-10 coding for Acute Inflammatory Demyelinating Polyradiculoneuropathy? Ask your questions below.

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