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v1.0.0
ICD-10 Guide
ICD-10 CodesG65.1

G65.1

Billable

Sequelae of other inflammatory polyneuropathy

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

Code Description

ICD-10 G65.1 is a billable code used to indicate a diagnosis of sequelae of other inflammatory polyneuropathy.

Key Diagnostic Point:

Sequelae of other inflammatory polyneuropathy refers to the long-term effects and residual symptoms that persist after the acute phase of an inflammatory polyneuropathy has resolved. Inflammatory polyneuropathies can arise from various causes, including autoimmune disorders, infections, or toxic exposures. The sequelae may manifest as persistent weakness, sensory disturbances, or autonomic dysfunction, significantly impacting the patient's quality of life. Neurological assessments often reveal deficits in motor and sensory function, which may require ongoing rehabilitation and management. Treatment may involve physical therapy, occupational therapy, and medications to manage symptoms such as pain or muscle weakness. Accurate coding of G65.1 is essential for proper reimbursement and to reflect the complexity of care required for these patients.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes leading to inflammatory polyneuropathy.
  • Potential for overlapping symptoms with other neurological conditions.
  • Need for comprehensive documentation of sequelae and their impact on daily functioning.
  • Variability in treatment approaches based on individual patient needs.

Audit Risk Factors

  • Inadequate documentation of the underlying cause of the inflammatory polyneuropathy.
  • Failure to specify the nature and extent of sequelae.
  • Misclassification of symptoms as primary conditions rather than sequelae.
  • Lack of follow-up documentation to support ongoing treatment.

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological assessments, including motor and sensory evaluations, and documentation of treatment plans.

Common Clinical Scenarios

Patients presenting with persistent weakness or sensory loss following an episode of inflammatory polyneuropathy.

Billing Considerations

Ensure that all sequelae are documented clearly to support the use of G65.1.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive rehabilitation plans, including goals and progress notes.

Common Clinical Scenarios

Patients undergoing rehabilitation for functional impairments due to sequelae of inflammatory polyneuropathy.

Billing Considerations

Document the impact of sequelae on daily activities and quality of life.

Coding Guidelines

Inclusion Criteria

Use G65.1 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that G65
  • 1 is used only when the sequelae of inflammatory polyneuropathy are documented

Exclusion Criteria

Do NOT use G65.1 When
  • Exclude conditions that do not meet the criteria for sequelae

Related ICD-10 Codes

Related CPT Codes

97110CPT Code

Therapeutic exercises

Clinical Scenario

Used for patients undergoing rehabilitation for sequelae of inflammatory polyneuropathy.

Documentation Requirements

Documentation of the patient's functional limitations and goals for therapy.

Specialty Considerations

Physical therapy notes should clearly link the exercises to the sequelae.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of sequelae, improving the accuracy of patient records and facilitating better management of long-term effects of inflammatory polyneuropathy.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of sequelae, improving the accuracy of patient records and facilitating better management of long-term effects of inflammatory polyneuropathy.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of sequelae, improving the accuracy of patient records and facilitating better management of long-term effects of inflammatory polyneuropathy.

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 symptoms associated with G65.1?

Common symptoms include persistent weakness, sensory disturbances, and autonomic dysfunction following an episode of inflammatory polyneuropathy.

How do I differentiate between G65.1 and other neuropathy codes?

G65.1 specifically refers to sequelae of inflammatory polyneuropathy, while other codes may refer to acute or unspecified neuropathies.