ICD-10 Coding for Guillain-Barré Syndrome(G61.0)
Complete ICD-10-CM coding and documentation guide for Guillain-Barré Syndrome. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Guillain-Barré Syndrome
G60-G64Primary Range
Polyneuropathies and other disorders of the peripheral nervous system
This range includes Guillain-Barré Syndrome and related neuropathies.
Key Information: ICD-10 code for Guillain-Barré Syndrome
Essential facts and insights about Guillain-Barré Syndrome
Primary ICD-10-CM Code for guillain barre syndrome
Decision Criteria
clinical Criteria
- Presence of progressive bilateral weakness and areflexia
documentation Criteria
- CSF analysis showing albuminocytologic dissociation
Applicable To
- Miller Fisher Syndrome
- Acute post-infective polyneuritis
Clinical Validation Requirements
- Progressive bilateral weakness
- Areflexia or hyporeflexia
- CSF albuminocytologic dissociation
- Nerve conduction studies showing demyelination
Code-Specific Risks
- Misclassification if documentation is insufficient
- Omission of nerve conduction study results
Coding Notes
- Ensure documentation includes specific findings like areflexia and CSF results.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Chronic inflammatory demyelinating polyneuropathy
G61.81Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Guillain-Barré Syndrome to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G61.0.
Impact
Clinical: May lead to misdiagnosis or incorrect treatment plans., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to insufficient documentation.
Mitigation Strategy
Ensure all diagnostic tests are documented in the patient's record., Review documentation guidelines regularly.
Impact
Reimbursement: Incorrect DRG assignment leading to potential underpayment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Ensure documentation specifies Guillain-Barré Syndrome with clinical criteria.
Impact
Lack of detailed clinical findings can lead to audit failures.
Mitigation Strategy
Ensure comprehensive documentation of all clinical criteria and test results.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Guillain-Barré Syndrome, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Guillain-Barré Syndrome
Use these documentation templates to ensure complete and accurate documentation for Guillain-Barré Syndrome. These templates include all required elements for proper coding and billing.
Post-infectious Guillain-Barré Syndrome
Specialty: NeurologyRequired Elements
- Onset and progression of weakness
- Reflex examination results
- CSF and NCS findings
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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