Disorders of autonomic nervous system
Chapter 6:Diseases of the nervous system
ICD-10 G90 is a billable code used to indicate a diagnosis of disorders of autonomic nervous system.
Disorders of the autonomic nervous system (ANS) encompass a range of conditions that affect the involuntary functions of the body, including heart rate, blood pressure, digestion, and temperature regulation. These disorders can manifest as dysautonomia, which may present with symptoms such as orthostatic hypotension, syncope, and gastrointestinal dysmotility. Pain syndromes associated with autonomic dysfunction can include complex regional pain syndrome (CRPS) and neuropathic pain, where the ANS plays a role in the pain signaling pathways. Hydrocephalus, characterized by an accumulation of cerebrospinal fluid (CSF) in the brain, can also impact autonomic regulation due to pressure on brain structures that control autonomic functions. Other nervous system disorders, such as multiple sclerosis and Parkinson's disease, may also involve autonomic dysfunction, complicating the clinical picture. Accurate diagnosis often requires a multidisciplinary approach, including neurologists, cardiologists, and pain specialists, to address the multifaceted nature of these disorders.
Detailed neurological examination findings, including autonomic testing results.
Patients presenting with syncope, orthostatic hypotension, or neuropathic pain.
Ensure documentation reflects the complexity of symptoms and any diagnostic tests performed.
Comprehensive pain assessments, including pain scales and impact on daily activities.
Management of CRPS or neuropathic pain with autonomic involvement.
Document the relationship between pain symptoms and autonomic dysfunction clearly.
Used when specific autonomic testing is performed but not listed elsewhere.
Detailed report of the procedure and findings.
Neurology specialists should ensure clarity in documentation to justify the unlisted code.
Common symptoms include dizziness, fainting, abnormal heart rates, gastrointestinal issues, and temperature regulation problems.
Autonomic neuropathy affects involuntary functions, while peripheral neuropathy primarily impacts sensory and motor functions. Documentation should specify the nature of symptoms to clarify the diagnosis.
