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ICD-10 Coding for Peripheral Neuropathy Unspecified(G62.9)

Complete ICD-10-CM coding and documentation guide for Peripheral Neuropathy Unspecified. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Polyneuropathy UnspecifiedIdiopathic Peripheral Neuropathy

Related ICD-10 Code Ranges

Complete code families applicable to Peripheral Neuropathy Unspecified

G60-G64Primary Range

Polyneuropathies and other disorders of the peripheral nervous system

This range includes codes for various types of neuropathies, including unspecified polyneuropathy.

Diabetes mellitus

This range includes codes for diabetic neuropathy, which should be used when neuropathy is due to diabetes.

Key Information: ICD-10 code for peripheral neuropathy unspecified

Essential facts and insights about Peripheral Neuropathy Unspecified

The ICD-10 code for peripheral neuropathy unspecified is G62.9, used when the cause is not determined.

Primary ICD-10-CM Code for peripheral neuropathy unspecified

Polyneuropathy, unspecified
Billable Code

Decision Criteria

clinical Criteria

  • Bilateral sensory/motor symptoms without a known cause.

coding Criteria

  • No known underlying cause like diabetes or alcohol.

documentation Criteria

  • Detailed documentation of symptoms and negative findings for known causes.

Applicable To

  • Idiopathic peripheral neuropathy

Excludes

  • Diabetic neuropathy (E11.42)
  • Alcoholic neuropathy (G62.1)

Clinical Validation Requirements

  • Bilateral sensory/motor symptoms without documented etiology
  • Normal HbA1c
  • Negative EMG for demyelination
  • Absence of diabetes/alcohol history

Code-Specific Risks

  • Using G62.9 when the neuropathy is due to a known cause like diabetes or alcohol.

Coding Notes

  • Ensure thorough documentation of symptoms and negative findings for known causes.

Ancillary Codes

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

Anesthesia of skin

R20.0
Use to document numbness associated with neuropathy.

Differential Codes

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

Type 2 diabetes mellitus with diabetic polyneuropathy

E11.42
Use when neuropathy is directly linked to diabetes.

Alcoholic polyneuropathy

G62.1
Use when neuropathy is due to chronic alcohol use.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Peripheral Neuropathy Unspecified to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G62.9.

Impact

Clinical: Leads to incorrect diagnosis and treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims or reduced reimbursement.

Mitigation Strategy

Provide detailed descriptions of symptoms and test results., Clarify any potential causes or linkages.

Impact

Reimbursement: Incorrect coding can lead to lower reimbursement rates., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate data representation of patient's condition.

Mitigation Strategy

Use E11.42 for diabetic neuropathy instead of G62.9.

Impact

High risk of audit if unspecified codes are used without supporting documentation.

Mitigation Strategy

Ensure thorough documentation of symptoms and negative findings for known causes.

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 Peripheral Neuropathy Unspecified, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Peripheral Neuropathy Unspecified

Use these documentation templates to ensure complete and accurate documentation for Peripheral Neuropathy Unspecified. These templates include all required elements for proper coding and billing.

Chronic idiopathic peripheral neuropathy

Specialty: Neurology

Required Elements

  • Symptoms
  • Exam findings
  • Test outcomes
  • Linkage to causes

Example Documentation

Chronic symmetric sensory neuropathy affecting bilateral upper and lower extremities, etiology undetermined after extensive workup.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Neuropathy in feet.
Good Documentation Example
Chronic symmetric small-fiber polyneuropathy affecting bilateral lower extremities, etiology unknown despite negative DM/alcohol/SPEP workup.
Explanation
The good example provides specific details about the type, location, and negative findings for known causes.

Need help with ICD-10 coding for Peripheral Neuropathy Unspecified? Ask your questions below.

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