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ICD-10 Guide
ICD-10 CodesA36.83

A36.83

Diphtheritic polyneuritis

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 A36.83 is a billable code used to indicate a diagnosis of diphtheritic polyneuritis.

Key Diagnostic Point:

Diphtheritic polyneuritis is a neurological complication that arises from diphtheria, an infectious disease caused by the bacterium Corynebacterium diphtheriae. This condition is characterized by inflammation of multiple peripheral nerves, leading to symptoms such as weakness, sensory loss, and autonomic dysfunction. The polyneuritis typically develops after the systemic effects of diphtheria, which can include respiratory distress and systemic toxicity. The pathophysiology involves the production of diphtheria toxin, which can damage nerve tissues and disrupt normal nerve function. Diagnosis is primarily clinical, supported by laboratory confirmation of diphtheria infection. Treatment focuses on the administration of diphtheria antitoxin and antibiotics, such as penicillin or erythromycin, to eradicate the bacteria and mitigate the effects of the toxin. Early intervention is crucial to prevent long-term neurological deficits. The prognosis varies, with some patients recovering fully while others may experience residual neurological impairment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of infectious disease pathology.
  • Involves knowledge of neurological complications.
  • Differentiation from other types of polyneuropathy.
  • Documentation must reflect both the infectious and neurological aspects.

Audit Risk Factors

  • Inadequate documentation of neurological symptoms.
  • Failure to link the diagnosis to the underlying diphtheria infection.
  • Misuse of codes for other types of polyneuropathy.
  • Lack of clarity in treatment protocols followed.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed history of exposure, clinical symptoms, and laboratory results confirming diphtheria.

Common Clinical Scenarios

Patients presenting with respiratory symptoms and subsequent neurological deficits.

Billing Considerations

Ensure that the documentation clearly indicates the relationship between diphtheria and polyneuritis.

Neurology

Documentation Requirements

Comprehensive neurological examination findings and assessment of functional impairment.

Common Clinical Scenarios

Patients with acute onset of weakness and sensory changes following a diphtheria infection.

Billing Considerations

Document the extent of nerve involvement and any residual effects post-treatment.

Coding Guidelines

Inclusion Criteria

Use A36.83 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the diagnosis and any associated complications
  • Include specific details about the patient's clinical presentation and treatment plan

Exclusion Criteria

Do NOT use A36.83 When
No specific exclusions found.

Related CPT Codes

99214CPT Code

Established patient office visit, level 4

Clinical Scenario

Used for follow-up visits for patients recovering from diphtheritic polyneuritis.

Documentation Requirements

Document history, examination findings, and treatment plan.

Specialty Considerations

Infectious disease specialists should document the infectious history clearly.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of diphtheritic complications, improving the accuracy of data collection and reimbursement processes for conditions like diphtheritic polyneuritis.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of diphtheritic complications, improving the accuracy of data collection and reimbursement processes for conditions like diphtheritic polyneuritis.

Reimbursement & Billing Impact

reimbursement processes for conditions like diphtheritic polyneuritis.

Resources

Clinical References

  • •
    CDC Diphtheria Information

Coding & Billing References

  • •
    CDC Diphtheria Information

Frequently Asked Questions

What are the common symptoms of diphtheritic polyneuritis?

Common symptoms include muscle weakness, sensory loss, and autonomic dysfunction, often following a diphtheria infection.