icd 9 code for neuropathy secondary to chemotherapy

by Prof. Harley Buckridge 10 min read

ICD-9 Codes 357.6 Polyneuropathy

Polyneuropathy

Polyneuropathy is damage or disease affecting peripheral nerves in roughly the same areas on both sides of the body, featuring weakness, numbness, and burning pain. It usually begins in the hands and feet and may progress to the arms and legs and sometimes to other parts of the body where it may affect the autonomic nervous system. It may be acute or chronic. A number of different disorders …

, drug related 357.4 Polyneuropathy, NOS 357.3 Polyneuropathy, cancer related ICD-10 Codes G62.0 Drug-induced polyneuropathy G62.9 Polyneuropathy, unspecified D49.9 and G63 Polyneuropathy, cancer related

Full Answer

How does chemotherapy cause neuropathy?

Some of the symptoms, according to the Mayo Clinic, may include but are not limited to:

  • Gradual onset of numbness, prickling or tingling in your feet or hands leading upward into your legs and arms
  • Sharp, jabbing, throbbing or burning pain
  • Heightened and extreme sensitivity to touch
  • Pain in your feet when putting weight on them or when they're under a blanket

Which does chemo cause neuropathy?

You might also experience:

  • oversensitivity to touch
  • balance and coordination problems, which can lead to stumbling or falling when walking
  • differences in your sensitivity to temperature, making it harder to gauge heat and cold
  • reduced reflexes
  • swallowing difficulties
  • jaw pain
  • hearing loss
  • constipation
  • trouble urinating

What is the best neuropathy medication?

Treating the Cause of Diabetic Nerve Pain In Hands, Not the Symptoms

  • Symptoms Of Neuropathy in Hands. Neuropathy in the hands means that you experience pain in your nerves, and this will need treatment.
  • Recommended Medications. Amitriptyline is often prescribed. ...
  • Capsaicin. Capsaicin is a natural substance found in chili peppers, making them hot. ...
  • Lidocaine. ...
  • Tramadol Pain Killer. ...
  • Nerve Renew Neuropathy Support Formula. ...

Can chemo induced neuropathy be cured?

These include electromyography with nerve conduction studies, skin biopsies to evaluate cutaneous nerve innervation, and nerve and muscle biopsies for histopathological evaluation. Treatment of chemotherapy induced neuropathies depends on discontinuation or lowering the dose of the anti-cancer drug.

How do you code neuropathy from chemo?

G62. 0 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 G62.

What is the ICD 9 code for peripheral neuropathy?

356.9ICD-9-CM Coding Peripheral neuropathy that is not further specified as being caused by an underlying condition is assigned to code 356.9.

What causes chemotherapy induced peripheral neuropathy?

Some chemotherapy drugs and other treatments for cancer can cause peripheral neuropathy, a set of symptoms caused by damage to nerves that control the sensations and movements of our arms, legs, hands, and feet.

What is the 2021 ICD-10 code for neuropathy?

Hereditary and idiopathic neuropathy, unspecified 9 became effective on October 1, 2021. This is the American ICD-10-CM version of G60.

Is peripheral neuropathy the same as Polyneuropathy?

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.

What is neuropathy unspecified?

Overview. Peripheral neuropathy, a result of damage to the nerves located outside of the brain and spinal cord (peripheral nerves), often causes weakness, numbness and pain, usually in the hands and feet. It can also affect other areas and body functions including digestion, urination and circulation.

How common is chemo induced peripheral neuropathy?

Chemotherapy-induced peripheral neuropathy (CIPN) is one of the most frequent side effects caused by antineoplastic agents, with a prevalence from 19% to over 85%. Clinically, CIPN is a mostly sensory neuropathy that may be accompanied by motor and autonomic changes of varying intensity and duration.

What is the best treatment for neuropathy that was caused by chemotherapy?

In the meantime, symptoms can be treated with:steroids to reduce inflammation.topical numbing medicines.antiseizure medications, which can help relieve nerve pain.prescription-strength pain relievers such as narcotics (opioids)antidepressants.electrical nerve stimulation.occupational and physical therapy.

Can chemotherapy cause autonomic neuropathy?

Although less common than peripheral neuropathy, autonomic neuropathy can develop as a result of chemotherapy, too. It occurs when the nerves that control involuntary bodily functions are damaged.

What is the correct ICD-10 code for neuropathy unspecified?

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 .

What is the ICD-10 code for neuropathy pain?

2.

What is idiopathic peripheral neuropathy?

Idiopathic peripheral neuropathy refers to damage of the peripheral nerves where cause can not be determined. When the peripheral nerves are damaged, there are often symptoms that affect the feet.

What is a chemo induced neuropathy?

Chemotherapy-induced peripheral neuropathy (CIPN) is damage and dysfunction of the peripheral nervous system secondary to chemotherapeutic agents , including platinum agents, taxanes, vinca alkaloids, thalidomide, bortezomib, and ixabepilone ( Table 96.1 ). CIPN commonly occurs in 30% to 40% of patients, but its incidence can vary from 0% to 70% ...

What factors affect neuronal damage?

The degree of neuronal damage is dependent on many factors, such as the chemotherapeutic agent, the frequency and duration of therapy, the cumulative dose, the use of other neurotoxic agents, and the presence of preexisting neuropathies, most commonly from diabetes [ 1 ].

Metastases to locations

198.7 Metastasis to adrenal gland 198.5 Metastasis to bone and/or marrow 198.3 Metastasis to brain and/or spinal cord 197.7 Metastasis to liver 197.0 Metastasis to lung 196.9 Metastasis to lymph nodes NOS 198.4 Metastasis to meninges (carcinomatous meningitis) 197.3 Metastasis to pleura (malignant effusion) 197.6 Metastasis to retro/peritoneum

Lymphoma

Note that billing codes with a * are not billable without the extra digit, which usually specifies anatomic distribution in the case of lymphoma.

Bone marrow transplant

V42.81 Bone marrow replaced by transplant (post-transplant) 996.85 Complications bone marrow transplant (e.g graft vs. host) V59.3 Donor, bone marrow V59.02 Donor, blood stem cells V42.82 Peripheral stem cells replaced by transplant (post-transplant)

When will the ICD-10 G62.0 be released?

The 2022 edition of ICD-10-CM G62.0 became effective on October 1, 2021.

What does the title of a manifestation code mean?

In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere.". Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code.

What is the code for neuropathy?

Neuropathic pain should be coded as neuralgia M79.2, not neuropathy.

Where is the ICd 10 code for neuropathy?

Most of the neuropathy ICD 10 codes are located in Chapter-6 of ICD-10-CM manual which is “diseases of the nervous system”, code range G00-G 99

What is the code for peripheral neuropathy?

Peripheral neuropathy with diabetes should be coded as E11.42 (DM with polyneuropath), not e11.40 (DM with neuropathy).

What are the symptoms of autonomic neuropathy?

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.

What tests are used to diagnose neuropathy?

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.

Can peripheral neuropathy cause tingling?

Symptoms can vary in both peripheral and autonomic neuropathy because the nerves affected are different. Peripheral neuropathy symptoms can be tingling, sharp throbbing pain, lack of coordination, paralysis if motor nerves are affected. Autonomic neuropathy symptoms can be heart intolerance, excess sweat or no sweat, blood pressure changes, bladder, bowel or digestive problems.

Can neuropathy be transferred from parent to child?

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).