Polyneuropathies and other disorders of the peripheral nervous system
ICD-10 Codes (23)
G61G61.0G61.1G61.8G61.81G61.82G61.89G61.9G62G62.0G62.1G62.2G62.8G62.81G62.82G62.89G62.9G63G64G65G65.0G65.1G65.2Updates & Changes
FY 2026 Updates
Deleted Codes
No codes deleted in this range for FY 2026
No significant changes for FY 2026
This range maintains stability with current coding practices
Historical Changes
- •FY 2025: Routine maintenance updates with minor terminology clarifications
- •FY 2024: Enhanced specificity requirements for certain code ranges
- •FY 2023: Updated documentation guidelines for improved clarity
Upcoming Changes
- •Proposed updates pending review by Coordination and Maintenance Committee
- •Under consideration: Enhanced digital health integration codes
Implementation Guidance
- •Review all FY 2026 updates for G60-G65 codes before implementation
- •Always verify the most current codes in the ICD-10-CM manual
- •Ensure clinical documentation supports the selected diagnosis codes
- +3 more guidance items...
Range Overview
The ICD-10 code range G60-G65 pertains to Polyneuropathies and other disorders of the peripheral nervous system. These codes are used to document various types of peripheral neuropathies, including hereditary and idiopathic neuropathies, inflammatory and toxic neuropathies, and other peripheral nerve disorders. This range also includes codes for Guillain-Barre syndrome and other inflammatory polyneuropathies.
Key Usage Points:
- •Always code to the highest level of specificity within the G60-G65 range.
- •Use additional codes to identify any associated underlying conditions.
- •For bilateral conditions, select the appropriate bilateral code when available.
- •Use combination codes for conditions with both neuropathy and another disorder.
- •Remember to code first for any associated diabetes mellitus (E08-E13).
Coding Guidelines
When to Use:
- ✓When a patient is diagnosed with hereditary or idiopathic neuropathy.
- ✓When a patient presents with Guillain-Barre syndrome.
- ✓When a patient has a peripheral nerve disorder due to a toxic substance.
- ✓When a patient has a peripheral nerve disorder due to an inflammatory condition.
- ✓When a patient has a peripheral nerve disorder due to an underlying disease.
When NOT to Use:
- ✗When a patient has a central nervous system disorder.
- ✗When a patient has a temporary nerve disorder due to injury.
- ✗When a patient has a nerve disorder due to a systemic disease not included in this range.
- ✗When a patient has a nerve disorder due to a congenital condition.
- ✗When a patient has a nerve disorder due to a neoplastic disease.
Code Exclusions
Always verify exclusions with the latest ICD-10-CM Official Guidelines for Coding and Reporting.
Documentation Requirements
Accurate documentation for the G60-G65 range requires detailed clinical information about the patient's condition. This includes the specific type of neuropathy, the cause (if known), the severity, the location, and any associated conditions. Supporting evidence may include lab results, imaging studies, and physician's notes.
Clinical Information:
- •Specific type of neuropathy
- •Cause of neuropathy (if known)
- •Severity of neuropathy
- •Location of neuropathy
- •Associated conditions
Supporting Evidence:
- •Lab results
- •Imaging studies
- •Physician's notes
Good Documentation Example:
Patient diagnosed with severe hereditary motor and sensory neuropathy affecting both lower limbs, due to Charcot-Marie-Tooth disease.
Poor Documentation Example:
Patient has neuropathy.
Common Documentation Errors:
- ⚠Not documenting the specific type of neuropathy
- ⚠Not documenting the cause of neuropathy
- ⚠Not documenting the severity of neuropathy
- ⚠Not documenting the location of neuropathy
Range Statistics
Coding Complexity
The coding complexity for the G60-G65 range is medium due to the need to accurately identify the specific type of neuropathy, the cause, the severity, the location, and any associated conditions. This requires a thorough understanding of the clinical aspects of peripheral neuropathies, as well as the ability to interpret detailed clinical documentation.
Key Factors:
- ▸Determining the specific type of neuropathy
- ▸Identifying the cause of neuropathy
- ▸Assessing the severity of neuropathy
- ▸Determining the location of neuropathy
- ▸Identifying any associated conditions
Specialty Focus
The G60-G65 range is most commonly used by neurologists, but may also be used by internists, family practitioners, and endocrinologists. These codes are particularly useful for documenting peripheral neuropathies in patients with diabetes, alcoholism, and other systemic diseases.
Primary Specialties:
Clinical Scenarios:
- • A patient with diabetes presents with peripheral neuropathy.
- • A patient with alcoholism presents with peripheral neuropathy.
- • A patient presents with Guillain-Barre syndrome.
- • A patient presents with hereditary motor and sensory neuropathy.
- • A patient presents with toxic neuropathy due to chemotherapy.
Resources & References
There are several resources available for coding the G60-G65 range, including the ICD-10-CM Official Guidelines for Coding and Reporting, the American Academy of Neurology's coding resources, and various coding textbooks and online resources.
Official Guidelines:
- ICD-10-CM Official Guidelines for Coding and Reporting
- American Academy of Neurology's coding resources
- Coding textbooks
- Online coding resources
Clinical References:
- Clinical textbooks
- Medical journals
- Online clinical resources
Educational Materials:
- Coding webinars
- Coding workshops
- Online coding courses
Frequently Asked Questions
Can I use a G60-G65 code for a patient with a central nervous system disorder?
No, the G60-G65 range is specifically for polyneuropathies and other disorders of the peripheral nervous system. Central nervous system disorders are coded elsewhere.