Lesion of femoral nerve, bilateral lower limbs
ICD-10 G57.23 is a billable code used to indicate a diagnosis of lesion of femoral nerve, bilateral lower limbs.
The femoral nerve is responsible for innervating the anterior compartment of the thigh, which includes the quadriceps muscle, and plays a crucial role in knee extension and hip flexion. A lesion of the femoral nerve can result from various causes, including trauma, compression, or systemic diseases such as diabetes mellitus. Patients may present with symptoms such as weakness in knee extension, sensory loss in the anterior thigh and medial aspect of the leg, and difficulty in ambulation. Bilateral involvement suggests a more systemic or widespread issue, potentially indicating conditions like bilateral nerve entrapment syndromes or neuropathies. Diagnosis typically involves a thorough clinical examination, nerve conduction studies, and imaging to identify the underlying cause of the nerve lesion. Treatment may include physical therapy, pain management, and addressing the underlying condition causing the nerve damage. Accurate coding is essential for proper reimbursement and to reflect the complexity of the patient's condition.
Detailed neurological examination findings, including motor and sensory assessments.
Patients presenting with weakness, sensory loss, or pain in the lower limbs.
Ensure documentation includes the duration of symptoms and any prior treatments.
Surgical notes if applicable, imaging results, and physical examination findings.
Post-surgical patients or those with trauma-related nerve injuries.
Document any surgical interventions or conservative management strategies.
Used to evaluate the function of the femoral nerve in patients with suspected lesions.
Document the specific nerves tested and the results of the study.
Neurologists should ensure that the rationale for testing is clearly documented.
Common causes include trauma, compression from tumors or hematomas, and systemic diseases such as diabetes mellitus.
Diagnosis typically involves a clinical examination, nerve conduction studies, and imaging to identify any underlying causes.
