ICD-10-CM Code S04.7 Injury of accessory nerve. ICD Code S04.7 is a non-billable code. To code a diagnosis of this type, you must use one of the three child codes of S04.7 that describes the diagnosis 'injury of accessory nerve' in more detail.
2018/2019 ICD-10-CM Diagnosis Code M79.2. Neuralgia and neuritis, unspecified. M79.2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Disorders of other specified cranial nerves. G52.8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2020 edition of ICD-10-CM G52.8 became effective on October 1, 2019. This is the American ICD-10-CM version of G52.8 - other international versions of ICD-10 G52.8 may differ.
Neuropathic pain ICD-10-CM M79.2 is grouped within Diagnostic Related Group (s) (MS-DRG v38.0): 073 Cranial and peripheral nerve disorders with mcc 074 Cranial and peripheral nerve disorders without mcc
Consequently, the term "accessory nerve" usually refers only to nerve supplying the sternocleidomastoid and trapezius muscles, also called the spinal accessory nerve. Strength testing of these muscles can be measured during a neurological examination to assess function of the spinal accessory nerve.
The spinal accessory nerve originates in the brain and enables motion in the trapezius and sternomastoid muscles in the neck. A spinal accessory nerve injury can be caused by trauma or damage during surgery, resulting in shoulder pain, "winging" of the shoulder blades and weakness of the trapezius muscle.
The Anatomy—Summary The spinal accessory nerve is the eleventh cranial nerve. It is a motor nerve (somatic motor) innervating two muscles—the sternocleidomastoid and trapezius. It has two components—a spinal part and a cranial part.
Cranial Nerve 11Neuroanatomy, Cranial Nerve 11 (Accessory)
The spinal accessory nerve is usually intact with brachial plexus injuries. It can be used as a donor (distal to some trapezius branches) for nerve transfers to the suprascapular nerve or a free muscle flap. The nerve can be injured in the posterior triangle of the neck (Fig.
cervical spinal cordThe spinal accessory nerve originates from neuronal cell bodies located in the cervical spinal cord and caudal medulla. Most are located in the spinal cord and ascend through the foramen magnum and exit the cranium through the jugular foramen.
Different from the other cranial nerves, each accessory nerve has some motor fibers originating in the lateral area of the anterior gray horns of the first five cervical spinal cord segments. The somatic motor fibers form the spinal root of CN XI, entering the cranium via the foramen magnum.
Cranial nerve XI, the spinal accessory nerve (SAN), is vulnerable to injury, owing to its long and superficial course in the posterior cervical neck. An important landmark in the neck, the SAN is considered to contribute most motor innervation to the trapezius muscle.
The accessory nerve is a cranial nerve that controls the movement of certain neck muscles. It is coiled in appearance.
The accessory nerve is a cranial nerve that controls the movement of certain neck muscles. It is coiled in appearance.
The hypoglossal nerve (CN XII) is exclusively a motor nerve carrying general somatic efferent fibers (GSE). It innervates all intrinsic and almost all extrinsic muscles of the tongue, as well as one suprahyoid muscle, the geniohyoid muscle.
The vagus nerve is responsible for the regulation of internal organ functions, such as digestion, heart rate, and respiratory rate, as well as vasomotor activity, and certain reflex actions, such as coughing, sneezing, swallowing, and vomiting (17).
This nerve supplies the sternocleidomastoid and trapezius muscles, which have the following functions: Rotation of head away from the side of the contracting sternocleidomastoid muscle. Tilting of the head toward the contracting sternocleidomastoid muscle. Flexion of the neck by both sternocleidomastoid muscles.
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).
Injury to the spinal accessory nerve can cause an accessory nerve disorder or spinal accessory nerve palsy, which results in diminished or absent function of the sternocleidomastoid muscle and upper portion of the trapezius muscle.
Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive.
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code S04.7. Click on any term below to browse the alphabetical index.