Intercostal neuropathy
ICD-10 G58.0 is a billable code used to indicate a diagnosis of intercostal neuropathy.
Intercostal neuropathy is a condition characterized by the dysfunction of the intercostal nerves, which are responsible for innervating the muscles between the ribs and providing sensation to the skin overlying the thorax. This neuropathy can result from various etiologies, including trauma, compression, or inflammation of the intercostal nerves. Patients may present with symptoms such as sharp, stabbing pain in the chest wall, numbness, or tingling sensations along the rib cage. The pain may worsen with movement, deep breathing, or coughing, leading to significant discomfort and functional impairment. Diagnosis typically involves a thorough clinical evaluation, including a detailed history and physical examination, followed by nerve conduction studies to assess the integrity and function of the intercostal nerves. Treatment options may include analgesics, physical therapy, and in some cases, corticosteroid injections to reduce inflammation. Understanding the underlying cause of the neuropathy is crucial for effective management and prevention of recurrence.
Detailed neurological examination findings, including sensory and motor assessments.
Patients presenting with unexplained thoracic pain or sensory disturbances.
Documentation of nerve conduction study results is critical for accurate coding.
Comprehensive pain assessments and treatment plans.
Management of chronic intercostal pain with interventional procedures.
Clear documentation of treatment efficacy and patient response is essential.
Used to confirm diagnosis of intercostal neuropathy.
Document the specific nerves tested and the results.
Neurologists should ensure comprehensive reporting of findings.
Common causes include trauma, surgical complications, infections (like herpes zoster), and systemic diseases such as diabetes.
Diagnosis typically involves a clinical evaluation, patient history, physical examination, and nerve conduction studies to assess nerve function.
