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ICD-10 Coding for Neuropathy due to Chemotherapy(G62.0, T45.1x5*)

Complete ICD-10-CM coding and documentation guide for Neuropathy due to Chemotherapy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Chemotherapy-Induced Peripheral NeuropathyCIPN

Related ICD-10 Code Ranges

Complete code families applicable to Neuropathy due to Chemotherapy

G60-G64Primary Range

Polyneuropathies and other disorders of the peripheral nervous system

This range includes codes for neuropathies, including drug-induced polyneuropathy.

Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances

This range includes codes for adverse effects of drugs, including chemotherapy agents.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
G62.0Drug-induced polyneuropathyUse when neuropathy is directly linked to chemotherapy treatment.
  • Explicit documentation linking neuropathy to chemotherapy
  • Exclusion of other causes such as diabetes or vitamin deficiencies
T45.1x5*Adverse effect of antineoplastic and immunosuppressive drugsUse as a secondary code to specify the adverse effect of chemotherapy.
  • Documentation of adverse effects related to chemotherapy

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 neuropathy due to chemotherapy

Essential facts and insights about Neuropathy due to Chemotherapy

The ICD-10 code for neuropathy due to chemotherapy is G62.0, used with T45.1x5* for adverse effects.

Primary ICD-10-CM Codes for neuropathy due to chemotherapy

Drug-induced polyneuropathy
Billable Code

Decision Criteria

clinical Criteria

  • Neuropathy symptoms directly linked to chemotherapy agents

documentation Criteria

  • Detailed history and examination excluding other causes

Applicable To

  • Polyneuropathy due to chemotherapy

Excludes

  • Polyneuropathy in diabetes (E11.42)

Clinical Validation Requirements

  • Explicit documentation linking neuropathy to chemotherapy
  • Exclusion of other causes such as diabetes or vitamin deficiencies

Code-Specific Risks

  • Misclassification if not explicitly linked to chemotherapy

Coding Notes

  • Ensure documentation explicitly links neuropathy to chemotherapy.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Neoplasm-related pain

G89.3
Use if pain is documented as part of the neuropathy.

Long-term use of chemotherapy

Z79.899
Use for ongoing chemotherapy treatment.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Polyneuropathy in diabetes

G63.4
Use when neuropathy is due to diabetes, not chemotherapy.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Neuropathy due to Chemotherapy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G62.0.

Impact

Clinical: Inaccurate diagnosis and treatment planning, Regulatory: Non-compliance with documentation standards, Financial: Potential claim denials or reduced reimbursement

Mitigation Strategy

Educate providers on documentation standards, Use templates to ensure comprehensive notes

Impact

Reimbursement: Potential underpayment due to incorrect coding, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate clinical data representation

Mitigation Strategy

Query provider to confirm neuropathy is treatment-related.

Impact

G62.0 must be primary with T45.1x5* as secondary.

Mitigation Strategy

Regular training on coding guidelines and sequencing rules.

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 Neuropathy due to Chemotherapy, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Neuropathy due to Chemotherapy

Use these documentation templates to ensure complete and accurate documentation for Neuropathy due to Chemotherapy. These templates include all required elements for proper coding and billing.

Oncology progress note for CIPN

Specialty: Oncology

Required Elements

  • Chemotherapy agent and dose
  • Symptom onset and distribution
  • Functional impact assessment
  • Exclusion of other causes

Example Documentation

Patient with stage III ovarian cancer presents with bilateral foot numbness after 4 cycles of carboplatin/paclitaxel.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient reports numbness.
Good Documentation Example
Grade 2 CIPN: bilateral hand numbness impacting ADLs, onset after 3 cycles of oxaliplatin.
Explanation
The good example provides specific details linking symptoms to chemotherapy.

Need help with ICD-10 coding for Neuropathy due to Chemotherapy? Ask your questions below.

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