ICD-10 Coding for Idiopathic Peripheral Neuropathy(G60.9, G90.09)
Complete ICD-10-CM coding and documentation guide for Idiopathic Peripheral Neuropathy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Idiopathic Peripheral Neuropathy
G60.0-G60.9Primary Range
Hereditary and idiopathic neuropathies
This range includes codes for hereditary and idiopathic neuropathies, with G60.9 specifically for idiopathic cases.
Idiopathic peripheral autonomic neuropathy
This code is used when autonomic involvement is present in idiopathic neuropathy.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| G60.9 | Hereditary and idiopathic neuropathy, unspecified | Use when neuropathy is confirmed idiopathic after ruling out other causes. |
|
| G90.09 | Idiopathic peripheral autonomic neuropathy | Use when autonomic symptoms are present in idiopathic neuropathy. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for idiopathic peripheral neuropathy
Essential facts and insights about Idiopathic Peripheral Neuropathy
Primary ICD-10-CM Codes for idiopathic peripheral neuropathy
Decision Criteria
clinical Criteria
- Confirmed idiopathic neuropathy with no other identifiable cause.
documentation Criteria
- Detailed documentation of symptoms, negative diabetes workup, and EMG/NCS results.
Clinical Validation Requirements
- EMG/NCS showing axonal loss
- Negative diabetes workup
Code-Specific Risks
- Misclassification if diabetes is not ruled out
Coding Notes
- Ensure thorough documentation of negative findings for other potential causes.
G90.09 - Idiopathic peripheral autonomic neuropathy
Use when autonomic symptoms are present in idiopathic neuropathy.
Applicable To
- Idiopathic autonomic neuropathy
Excludes
- Autonomic neuropathy in diseases classified elsewhere (E08.43-E13.43)
Clinical Validation Requirements
- Symptoms of autonomic dysfunction
- Negative diabetes workup
Coding Notes
Document specific autonomic symptoms and rule out other causes.
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.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Idiopathic Peripheral Neuropathy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G60.9.
Impact
Clinical: Leads to inaccurate diagnosis and treatment., Regulatory: May result in audits and compliance issues., Financial: Potential for claim denials and reduced reimbursement.
Mitigation Strategy
Ensure thorough documentation of all diagnostic tests., Rule out other potential causes before coding.
Impact
Reimbursement: Incorrect coding may lead to claim denials or incorrect reimbursement., Compliance: Non-compliance with coding guidelines if diabetes is not ruled out., Data Quality: Inaccurate clinical data affecting patient records and treatment plans.
Mitigation Strategy
Ensure diabetes is ruled out through appropriate testing before coding as idiopathic.
Impact
Increased scrutiny on claims with unspecified codes.
Mitigation Strategy
Use specific codes and ensure comprehensive documentation.
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 Idiopathic Peripheral Neuropathy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Idiopathic Peripheral Neuropathy
Use these documentation templates to ensure complete and accurate documentation for Idiopathic Peripheral Neuropathy. These templates include all required elements for proper coding and billing.
Chronic idiopathic sensorimotor polyneuropathy
Specialty: NeurologyRequired Elements
- Symptom description
- EMG/NCS results
- Negative diabetes workup
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Idiopathic Peripheral Neuropathy? Ask your questions below.