Mononeuritis multiplex
ICD-10 G58.7 is a billable code used to indicate a diagnosis of mononeuritis multiplex.
Mononeuritis multiplex is a neurological condition characterized by the simultaneous or sequential occurrence of multiple mononeuropathies, which are localized nerve injuries affecting individual nerves. This condition often presents with asymmetric weakness, sensory loss, and pain in the affected areas. The underlying causes can vary widely, including systemic diseases such as diabetes mellitus, vasculitis, infections, and exposure to toxins. Clinically, patients may report symptoms such as numbness, tingling, or weakness in specific limbs, often leading to significant functional impairment. Diagnosis typically involves a thorough clinical examination, patient history, and may include nerve conduction studies to assess the extent of nerve damage and to rule out other neuropathies. Treatment focuses on addressing the underlying cause, managing symptoms, and may involve physical therapy, corticosteroids, or immunosuppressive agents depending on the etiology. Accurate coding is essential for appropriate reimbursement and to reflect the complexity of the patient's condition.
Detailed clinical history, results of neurological examinations, and nerve conduction studies.
Patients presenting with unexplained weakness or sensory loss in multiple limbs.
Ensure comprehensive documentation of all affected nerves and any systemic conditions contributing to the diagnosis.
Documentation of systemic disease processes, laboratory results indicating autoimmune conditions.
Patients with known autoimmune disorders presenting with new neurological symptoms.
Document the relationship between systemic disease and neurological manifestations clearly.
Used to evaluate the extent of nerve damage in patients with suspected mononeuritis multiplex.
Results of nerve conduction studies must be documented in the patient's medical record.
Neurologists should ensure that the studies are interpreted in the context of the patient's clinical presentation.
Common causes include autoimmune diseases, vasculitis, diabetes mellitus, infections, and exposure to toxins. Each case may require specific diagnostic workup to identify the underlying etiology.
