Peripheral neuropathy or polyneuropathy, NOS

ICD10 Diagnosis
Dx:	Peripheral neuropathy or polyneuropathy, NOS
ICD10 code:	G62.9
Pre-ICD10 counterpart:	Peripheral Neuropathy
Charlson/ALERT Scale:	none
APACHE Como Component:	none
APACHE Acute Component:	none
Start Date:
Stop Date:
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
  • G62.9

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Additional Info

• Peripheral neuropathy (PN) is damage to or disease affecting nerves, which may impair sensation, movement, gland or organ function, or other aspects of health, depending on the type of nerve affected.
• Polyneuropathy

Includes

• peroneal nerve injury causing foot drop, combine with Joint disorder, nontraumatic NOS
• autoimmune sensory ganglionopathy, combine with Disorder of the immune system, NOS

The causes of polyneuropathy can be divided into hereditary and acquired and are therefore as follows:

• Inherited - are hereditary motor neuropathies, Charcot–Marie–Tooth disease (Charcot Marie Tooth), and hereditary neuropathy with liability to pressure palsy. For inherited disorders combine with Nervous system NOS, congenital malformation
• Acquired - are diabetes mellitus, vascular neuropathy, alcohol abuse, and vitamin B12 deficiency
• Multiple System Atrophy (MSA)
• Chronic inflammatory demyelinating polyneuropathy (CIDP)

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

• Dysarthria
• Peripheral nervous system disorder, NOS
• Neuropathy, peripheral, drug-induced
• Neuropathy (peripheral), alcohol-induced
• Critical illness polyneuropathy (peripheral)
• Guillain-Barre syndrome (Acute inflammatory demyelinating polyneuropathy (AIDP))
• Diabetes mellitus chronic complication: Neuropathy

Candidate Combined ICD10 codes

• Dysarthria

Related CCI Codes

Data Integrity Checks (automatic list)

none found

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Misc Adverse effect Alcohol related Allergy Anesthetic related Antidepressant related Awaiting/delayed transfer COVID Cannabis related Cocaine related Decubitus ulcer Diagnosis implying death Exposure Fistula Hallucinogen related Has one Healthcare contact Hemorrhage Iatrogenic Metabolic/nutrition Non-traumatic fracture Observation Organ removal Ostomy Overdose Paralysis Past medical history Poisoning Psychoactive substance NOS related Radiation related Retired Code Rheumatic disease Sedative related Shock Solvent related Spine Stimulant related Transplant	Reproductive Abortion Breast disease Female genital neoplasm Male genital neoplasm Peripartum	Gastrointestinal Cirrhosis GI ulcer Gastroenteritis Gastrointestinal neoplasm Hepatitis Hernia Inflammatory Bowel Disease Intra-abdominal infection Ischemic gut Liver disease Liver failure Pancreas disease Pancreatitis Peptic ulcer	Musculoskeletal/soft tissue Hernia Joint/ligament trauma Muscle problem Muscles/tendon trauma Musculoskeletal/soft tissue neoplasm Osteomyelitis
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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 ulcer, Delirium, Dementia, Diabetes, Diagnosis implying death, Double duty pathogen, ENT, 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, Male genital neoplasm, Mechanism, Meningitis, Metabolic/nutrition, Metastasis, Misc, Muscle problem, Muscles/tendon trauma, Musculoskeletal/soft tissue, Musculoskeletal/soft tissue neoplasm... further results