Treating the Cause of Diabetic Nerve Pain In Hands, Not the Symptoms
Specific conditions and their treatments include:
Idiopathic progressive neuropathy
Unspecified injury of right wrist, hand and finger (s), initial encounter
Hereditary and idiopathic neuropathy, unspecified 9 became effective on October 1, 2021. This is the American ICD-10-CM version of G60.
G56. 91 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM G56. 91 became effective on October 1, 2021.
ICD-9-CM Coding Peripheral neuropathy that is not further specified as being caused by an underlying condition is assigned to code 356.9. Autonomic neuropathy not further specified is classified to code 337.9.
2: Paresthesia of skin.
Peripheral neuropathy can result from traumatic injuries, infections, metabolic problems, inherited causes and exposure to toxins. One of the most common causes is diabetes. People with peripheral neuropathy generally describe the pain as stabbing, burning or tingling.
ICD-10 code G60. 9 for Hereditary and idiopathic neuropathy, unspecified is a medical classification as listed by WHO under the range - Diseases of the nervous system .
2.
Mononeuropathies of lower limb ICD-10-CM G57. 92 is grouped within Diagnostic Related Group(s) (MS-DRG v39.0): 073 Cranial and peripheral nerve disorders with mcc. 074 Cranial and peripheral nerve disorders without mcc.
Polyneuropathy is when multiple peripheral nerves become damaged, which is also commonly called peripheral neuropathy. Peripheral nerves are the nerves outside of the brain and spinal cord.
ICD-10-CM Code for Paresthesia of skin R20. 2.
ICD-10-CM Code for Pain in hand and fingers M79. 64.
R20. 2 - Paresthesia of skin. ICD-10-CM.
Polyneuropathy – Two or more nerves in different areas get affected. Autonomic neuropathy – Affects the nerves which control blood pressure, sweating, digestion, heart rate, bowel and bladder emptying.
Autonomic neuropathy symptoms can be heart intolerance, excess sweat or no sweat, blood pressure changes, bladder, bowel or digestive problems. Physician does a thorough physical examination including extremity neurological exam and noting vitals.
Diana is a 52 year old woman coming to emergency department with throbbing pain on her legs and arms from past few weeks. Diana takes over the counter medicine for pain. But that is not giving a proper relief to her. She has a history of DM, HTN and hypercholesterolemia.
Detailed history of the patient like symptoms, lifestyle and exposure to toxins may also help to diagnose neuropathy. Blood tests, CT, MRI, electromyography, nerve biopsy and skin biopsy are the tests used to confirm neuropathy.
If yes, neuropathy and diabetes needs to be combined and coded regardless of it is polyneuropathy, autonomic neuropathy, mononeuropathy or unspecified neuropathy. Peripheral neuropathy with diabetes should be coded as E11.42 (DM with polyneuropath), not e11.40 (DM with neuropathy).
There is hereditary neuropathy also which get transferred from parent to child. Neuropathy can occur in any nerve of the body, but peripheral neuropathy is the common type seen in most of the people. As the name says peripheral neuropathy affects peripheral nerves usually extremities (hands and feet).