Other and unspecified symptoms and signs involving the nervous and musculoskeletal systems
From CCMDB WikiJump to navigationJump to search
|Dx:||Other and unspecified symptoms and signs involving the nervous and musculoskeletal systems|
|Pre-ICD10 counterpart:||none assigned|
|APACHE Como Component:||none|
|APACHE Acute Component:||none|
|External ICD10 Documentation|
- The main use of this code is when there is a "neuromuscular" disorder but it is not even known if it is a primary problem with nerves vs. muscles.
- Because when that IS known, one should either: (a) code the specific disorder if we have a code for it, or if not then, (b) use an appropriate neuro-related or muscle-related NOS code, e.g.
- If NONE of the above solutions are applicable, then this code can be used.
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:
- 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
Alternate ICD10s to consider coding instead or in addition
Candidate Combined ICD10 codes
Related CCI Codes