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v1.0.0
ICD-10 Guide
ICD-10 CodesG61.89

G61.89

Billable

Other inflammatory polyneuropathies

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 G61.89 is a billable code used to indicate a diagnosis of other inflammatory polyneuropathies.

Key Diagnostic Point:

G61.89 refers to a category of inflammatory polyneuropathies that do not fall under more specific classifications. These conditions are characterized by inflammation of multiple peripheral nerves, leading to symptoms such as weakness, numbness, and pain. Inflammatory polyneuropathies can arise from various causes, including autoimmune disorders, infections, and toxic exposures. The clinical presentation may vary widely, with some patients experiencing acute onset of symptoms, while others may have a more gradual progression. Diagnosis often involves a combination of clinical evaluation, electrodiagnostic studies, and laboratory tests to identify underlying causes. Electrodiagnostic studies, such as nerve conduction studies and electromyography, are crucial in assessing the extent of nerve damage and differentiating inflammatory polyneuropathies from other neuropathic conditions. Treatment typically focuses on addressing the underlying cause, managing symptoms, and may include immunotherapy, corticosteroids, or other medications. Accurate coding is essential for proper reimbursement and to reflect the complexity of the patient's condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes leading to similar symptoms
  • Need for comprehensive documentation of clinical findings
  • Differentiation from other neuropathies and conditions
  • Potential for overlapping diagnoses

Audit Risk Factors

  • Insufficient documentation of clinical findings
  • Inconsistent use of codes for similar conditions
  • Failure to document the underlying cause of neuropathy
  • Inadequate linkage between diagnosis and treatment

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, results of electrodiagnostic studies, and any relevant laboratory tests.

Common Clinical Scenarios

Patients presenting with weakness, sensory loss, or pain in the extremities with suspected inflammatory causes.

Billing Considerations

Ensure clear documentation of the clinical rationale for the diagnosis and any differential diagnoses considered.

Rheumatology

Documentation Requirements

Documentation of autoimmune markers, clinical history of autoimmune diseases, and treatment response.

Common Clinical Scenarios

Patients with known autoimmune disorders presenting with new neurological symptoms.

Billing Considerations

Document any correlation between autoimmune activity and neurological symptoms to support the diagnosis.

Coding Guidelines

Inclusion Criteria

Use G61.89 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the diagnosis is supported by clinical documentation
  • 89 should be used when the specific inflammatory polyneuropathy is not classified elsewhere
  • Ensure to document any relevant history, examination findings, and diagnostic tests

Exclusion Criteria

Do NOT use G61.89 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

95900CPT Code

Nerve conduction studies

Clinical Scenario

Used to evaluate the extent of nerve damage in patients suspected of having inflammatory polyneuropathy.

Documentation Requirements

Document the specific nerves tested and the findings of the study.

Specialty Considerations

Neurologists should ensure that the rationale for testing is clearly documented.

95860CPT Code

Electromyography (EMG)

Clinical Scenario

Performed to assess muscle response and differentiate between neuropathic and myopathic conditions.

Documentation Requirements

Document the muscles tested and the interpretation of results.

Specialty Considerations

Ensure that the clinical indications for EMG are well documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of inflammatory polyneuropathies, improving the accuracy of diagnosis and treatment tracking. G61.89 provides a necessary code for conditions that do not fit into more defined categories, ensuring that patients receive appropriate care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of inflammatory polyneuropathies, improving the accuracy of diagnosis and treatment tracking. G61.89 provides a necessary code for conditions that do not fit into more defined categories, ensuring that patients receive appropriate care.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of inflammatory polyneuropathies, improving the accuracy of diagnosis and treatment tracking. G61.89 provides a necessary code for conditions that do not fit into more defined categories, ensuring that patients receive appropriate care.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common causes of inflammatory polyneuropathies?

Common causes include autoimmune diseases, infections, and toxic exposures. Conditions like Guillain-Barré syndrome and chronic inflammatory demyelinating polyneuropathy are specific types of inflammatory polyneuropathies.

How do electrodiagnostic studies assist in diagnosing G61.89?

Electrodiagnostic studies, including nerve conduction studies and electromyography, help assess the extent of nerve damage and differentiate inflammatory polyneuropathies from other neuropathic conditions.