Lesion of lateral popliteal nerve, bilateral lower limbs
ICD-10 G57.33 is a billable code used to indicate a diagnosis of lesion of lateral popliteal nerve, bilateral lower limbs.
The lateral popliteal nerve, a branch of the sciatic nerve, innervates the muscles responsible for dorsiflexion and eversion of the foot. A lesion of this nerve can lead to foot drop, characterized by the inability to lift the front part of the foot, resulting in a high-stepping gait or dragging of the foot. This condition can arise from various causes, including trauma, compression from tumors, or prolonged pressure during surgery or immobilization. Bilateral lesions may indicate systemic issues such as diabetes or hereditary neuropathies. Clinical evaluation often includes a thorough history and physical examination, followed by nerve conduction studies (NCS) to assess the function of the lateral popliteal nerve. These studies help differentiate between neuropathies and other conditions that may mimic similar symptoms. Treatment may involve physical therapy, orthotic devices, or surgical intervention depending on the underlying cause and severity of the lesion.
Detailed neurological examination findings, results of nerve conduction studies, and any imaging studies performed.
Patients presenting with foot drop, numbness, or weakness in the lower limbs.
Ensure that the documentation clearly states the bilateral nature of the lesion and any associated conditions.
Surgical notes if applicable, imaging results, and pre- and post-operative assessments.
Patients with nerve compression due to orthopedic conditions or post-surgical complications.
Document any surgical interventions that may have contributed to the nerve lesion.
Used to evaluate the function of the lateral popliteal nerve in patients with suspected lesions.
Results of the nerve conduction study must be documented, including latency and amplitude measurements.
Neurologists should ensure that the study is performed according to established protocols.
Common causes include trauma, compression from tumors, prolonged pressure during surgery or immobilization, and systemic conditions such as diabetes.
