Alcoholic polyneuropathy
ICD-10 G62.1 is a billable code used to indicate a diagnosis of alcoholic polyneuropathy.
Alcoholic polyneuropathy is a type of peripheral neuropathy that occurs due to chronic alcohol abuse. It is characterized by damage to the peripheral nerves, leading to symptoms such as numbness, tingling, and weakness, particularly in the extremities. The condition arises from the neurotoxic effects of alcohol and nutritional deficiencies, particularly thiamine (vitamin B1) deficiency, which is common in individuals with alcohol use disorder. Clinically, patients may present with a symmetrical pattern of sensory and motor deficits, often starting in the distal limbs and progressing proximally. Diagnosis is typically confirmed through clinical evaluation and electrodiagnostic studies, which assess nerve conduction velocity and electromyography (EMG) to determine the extent of nerve damage. Management focuses on abstinence from alcohol, nutritional support, and symptomatic treatment to alleviate pain and improve function. Early recognition and intervention are crucial to prevent further nerve damage and improve patient outcomes.
Detailed neurological examination findings, including sensory and motor assessments.
Patients presenting with symptoms of numbness and weakness in the limbs, often with a history of alcohol use.
Ensure thorough documentation of the patient's alcohol consumption history and any related nutritional deficiencies.
Comprehensive assessment of substance use history and related health issues.
Patients undergoing treatment for alcohol use disorder who present with neurological symptoms.
Documenting the impact of alcohol cessation on neurological symptoms and any nutritional interventions.
Used to confirm the diagnosis of alcoholic polyneuropathy.
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 alcohol use history.
Common symptoms include numbness, tingling, burning sensations, and weakness in the extremities, often starting in the feet and progressing to the hands.
