Critical illness polyneuropathy (peripheral)

ICD10 Diagnosis
Dx:	Critical illness polyneuropathy (peripheral)
ICD10 code:	G62.81
Pre-ICD10 counterpart:	Peripheral Neuropathy
Charlson/ALERT Scale:	none
APACHE Como Component:	none
APACHE Acute Component:	none
Start Date:
Stop Date:
Data Dependencies(Reports/Indicators/Data Elements):	No results
External ICD10 Documentation	ICD-10 CM Wikipedia ICD-10 Wikipedia WHO ICD10 documentation ICD10data.com

This diagnosis is a part of ICD10 collection.

• SMW
  • 2019-01-01
  • 2999-12-31
  • G62.81

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• SMW

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Additional Info

• This is a (semi) specific entity with sensory-motor polyneuropathy seen in the setting of critical illness. It's presentation can lean more heavily (or solely) as sensory nerves or motor nerves or both. The most common critical illness is sepsis/septic shock, but can be seen in a wide variety of critical illnesses. It's believed to be the peripheral nervous system version of multi-organ dysfunction syndrom (MODS), and due to circulating, soluble inflammatory mediators.
• There is no specific delineation of which critical illness is involved, nor how BAD that illness has to be. Usually the diagnosis is made in the presence of a sensory-motor polyneuropathy in someone with critical illness of any type, where there is no other recognized cause of the polyneuropathy.

Excludes

• muscle deconditioning, use Muscle, wasting/atrophy NOS

• Polyneuropathy

Guidelines for Acquired neuromuscular weakness

• Many acutely ill (especially critically ill) patients develop/acquire weakness while in hospital
• But, there are a variety of different causes of such weakness, including related to problems with nerves (neuropathies) and muscles (myopathies). While there are some ways to distinguish among these (e.g. use of EMG/NCV testing) this is almost never done because other than avoidance, there are no real treatments for any of these, i.e. they're all treated with rehabilitation.

• Here are the specific diagnostic codes we have to cover these various causes:
  • Acquired neuropathies:
    • Critical illness polyneuropathy (peripheral)
    • Peripheral neuropathy or polyneuropathy, NOS
  • Acquired myopathies:
    • Muscle, wasting/atrophy NOS -- this INCLUDES weakness/wasting/atrophy due to deconditioning
    • Myopathy, drug-induced
    • Muscle disorder/myopathy (primary or secondary), NOS
    • Muscle, disorder NOS
  • When it's not even clear whether the problem is due to muscle or nerves
    • Other and unspecified symptoms and signs involving the nervous and musculoskeletal systems

Alternate ICD10s to consider coding instead or in addition

• Peripheral neuropathy or polyneuropathy, NOS
• Peripheral nervous system disorder, NOS
• Neuropathy, peripheral, drug-induced
• Neuropathy (peripheral), alcohol-induced
• Guillain-Barre syndrome (Acute inflammatory demyelinating polyneuropathy (AIDP))

Candidate Combined ICD10 codes

Related CCI Codes

Data Integrity Checks (automatic list)

none found

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ICD10 Categories: ANCA-associated Vasculitis (AAV), Abdominal trauma, Abortion, Acute intoxication, Addiction, Adrenal Insufficiency, Adverse effect, Alcohol related, Allergy, Anemia, Anesthetic related, Aneurysm, Antibiotic resistance, Antidepressant related, Aortic Aneurysm, Arrhythmia, Arterial thromboembolism, Asthma, Atherosclerosis, Awaiting/delayed transfer, Bacteria, Benign neoplasm, Breast disease, Burn, COVID, Cannabis related, Cardiac septum problem, Cardiovascular, Cerebral Hemorrhage/Stroke, Chemical burn, Chronic kidney disease, Cirrhosis, Cocaine related, Decubitus Deep Tissue Damage, Decubitus Stage 1, Decubitus Stage 2, Decubitus Stage 3, Decubitus Stage 4, Decubitus Stage not indicated, Decubitus heel, Decubitus other area, Decubitus sacral area, Decubitus ulcer, Delirium, Dementia, Diabetes, Diagnosis implying death, Double duty pathogen, ENT, Electrolyte disturbance, Encephalitis, Encephalopathy, Endocrine disorder, Endocrine neoplasm, Exposure, Eye, Female genital neoplasm, Fistula, Fracture, Fungus, GI ulcer, Gastroenteritis, Gastrointestinal, Gastrointestinal neoplasm, Hallucinogen related, Has one, Head trauma, Head trauma (old), Healthcare contact, Heart valve disease, Heme/immunology, Heme/immunology neoplasm, Hemophilia, Hemorrhage, Hepatitis, Hereditary/congenital, Hernia, Hypertension, Hypotension, Iatrogenic, Iatrogenic infection, Iatrogenic mechanism, Imaging, Infection requiring pathogen, Infection with implied pathogen, Infectious disease, Inflammatory Bowel Disease, Influenza, Inhalation, Intra-abdominal infection, Ischemia, Ischemic gut, Ischemic heart disease, Joint/ligament trauma, Leukemia, Liver disease, Liver failure, Lower limb trauma, Lower respiratory tract infection, Lymphoma... further results