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ICD-10 Guide
ICD-10 CodesG98.0

G98.0

Billable

Neurogenic arthritis, not elsewhere classified

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

Code Description

ICD-10 G98.0 is a billable code used to indicate a diagnosis of neurogenic arthritis, not elsewhere classified.

Key Diagnostic Point:

Neurogenic arthritis refers to joint inflammation and pain that arises as a consequence of neurological disorders affecting the nervous system. This condition is often seen in patients with autonomic dysfunction, where the nervous system fails to regulate bodily functions properly, leading to joint issues. Pain syndromes associated with neurogenic arthritis can be complex, as they may involve both nociceptive and neuropathic pain mechanisms. Hydrocephalus, characterized by an accumulation of cerebrospinal fluid within the ventricles of the brain, can also contribute to neurogenic arthritis due to increased intracranial pressure affecting the spinal cord and peripheral nerves. Other nervous system disorders, such as multiple sclerosis or spinal cord injuries, can lead to altered proprioception and motor control, resulting in abnormal joint loading and subsequent arthritis. Accurate diagnosis and management of neurogenic arthritis require a multidisciplinary approach, including neurologists, rheumatologists, and pain specialists, to address both the underlying neurological condition and the resultant joint pathology.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying neurological conditions that can lead to neurogenic arthritis.
  • Overlap with other arthritis codes, necessitating careful clinical documentation.
  • Potential for misdiagnosis due to similar presentations with other types of arthritis.
  • Need for comprehensive patient history to establish the neurogenic origin of arthritis.

Audit Risk Factors

  • Inadequate documentation of the neurological condition leading to arthritis.
  • Failure to specify the type of neurogenic disorder affecting the patient.
  • Lack of clarity in the relationship between neurological symptoms and joint pain.
  • Inconsistent coding practices among different providers.

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological assessment, including history of neurological disorders and their impact on joint function.

Common Clinical Scenarios

Patients with multiple sclerosis presenting with joint pain due to spasticity or altered gait.

Billing Considerations

Documentation must clearly link neurological findings to joint symptoms to support the use of G98.0.

Rheumatology

Documentation Requirements

Comprehensive evaluation of joint health, including imaging studies and lab results to rule out other forms of arthritis.

Common Clinical Scenarios

Patients with spinal cord injuries experiencing joint pain and inflammation.

Billing Considerations

Rheumatologists should collaborate with neurologists to ensure a holistic approach to treatment.

Coding Guidelines

Inclusion Criteria

Use G98.0 When
  • According to ICD
  • 10 guidelines, G98
  • 0 should be used when neurogenic arthritis is confirmed and not classified elsewhere
  • Coders must ensure that the underlying neurological condition is well
  • documented and that the relationship to joint symptoms is clear

Exclusion Criteria

Do NOT use G98.0 When
  • Exclusion criteria include cases where arthritis is due to other known causes

Related ICD-10 Codes

Related CPT Codes

99214CPT Code

Established patient office visit, level 4

Clinical Scenario

Used for follow-up visits in patients with neurogenic arthritis to assess joint symptoms and neurological status.

Documentation Requirements

Detailed history and examination findings related to both neurological and joint symptoms.

Specialty Considerations

Neurologists and rheumatologists should collaborate on documentation to ensure comprehensive care.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of neurogenic arthritis, improving the ability to capture the complexity of the condition and its relationship with neurological disorders. This specificity aids in better patient management and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of neurogenic arthritis, improving the ability to capture the complexity of the condition and its relationship with neurological disorders. This specificity aids in better patient management and resource allocation.

Reimbursement & Billing Impact

reimbursement.

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 is the primary cause of neurogenic arthritis?

Neurogenic arthritis is primarily caused by neurological disorders that affect the nervous system's ability to regulate joint function, leading to inflammation and pain.