Nerve root and plexus disorders
Chapter 6:Diseases of the nervous system
ICD-10 G54 is a billable code used to indicate a diagnosis of nerve root and plexus disorders.
Nerve root and plexus disorders encompass a range of conditions affecting the nerve roots and plexuses, which are critical components of the peripheral nervous system. These disorders can result from various etiologies, including compression, inflammation, trauma, or systemic diseases. Common presentations include pain, weakness, and sensory disturbances in the areas innervated by the affected nerves. Cranial nerve disorders, such as trigeminal neuralgia or Bell's palsy, fall under this category, often leading to significant morbidity. Nerve entrapments, like carpal tunnel syndrome, occur when nerves are compressed at specific anatomical sites, resulting in pain and functional impairment. Neuropathies, including diabetic neuropathy, can also lead to nerve root and plexus involvement, manifesting as diffuse pain and sensory loss. Nerve conduction studies are essential diagnostic tools used to assess the function of peripheral nerves and can help differentiate between various types of nerve disorders. Accurate diagnosis and coding are crucial for effective treatment and management of these conditions.
Detailed neurological examination findings, including sensory and motor deficits, and results from diagnostic tests.
Patients presenting with unexplained pain, weakness, or sensory loss; follow-up for nerve conduction study results.
Ensure clear documentation of the specific nerve root or plexus involved and the clinical rationale for the diagnosis.
Documentation of physical examination findings, imaging results, and treatment plans.
Patients with nerve entrapments due to musculoskeletal issues, such as carpal tunnel syndrome or thoracic outlet syndrome.
Document the relationship between musculoskeletal findings and nerve symptoms to support coding.
Used to evaluate nerve function in patients with suspected nerve root or plexus disorders.
Document the rationale for the study, including clinical findings and symptoms.
Neurologists should ensure that the study results correlate with the clinical diagnosis.
Common causes include trauma, compression from tumors or herniated discs, systemic diseases like diabetes, and inflammatory conditions.
Nerve conduction studies measure the speed and strength of electrical signals in nerves, helping to identify the location and extent of nerve damage.
