Fasciculation
ICD-10 R25.3 is a billable code used to indicate a diagnosis of fasciculation.
Fasciculation refers to involuntary, spontaneous muscle contractions that are visible under the skin. These contractions can occur in any skeletal muscle and are often benign, but they may also indicate underlying neurological conditions. Fasciculations can be caused by a variety of factors including fatigue, stress, electrolyte imbalances, or neurological disorders such as amyotrophic lateral sclerosis (ALS) or peripheral neuropathy. Clinically, fasciculations may present as twitching or quivering of muscles, often accompanied by muscle cramps or weakness. While they are typically harmless, persistent or widespread fasciculations warrant further investigation to rule out serious conditions. The diagnostic approach includes a thorough patient history, neurological examination, and possibly electromyography (EMG) to assess muscle and nerve function. Laboratory tests may be conducted to check for electrolyte levels and other metabolic factors. Accurate documentation of the frequency, duration, and associated symptoms of fasciculations is crucial for proper coding and management.
Detailed history of symptoms, including onset, duration, and associated factors.
Patients presenting with muscle twitching after exercise or stress.
Consideration of metabolic causes and comprehensive neurological evaluation.
Acute assessment of fasciculations, including vital signs and neurological status.
Patients presenting with acute muscle twitching and associated symptoms like weakness or pain.
Rapid evaluation for potential life-threatening conditions such as electrolyte imbalances.
When fasciculations are suspected to be due to a neurological disorder.
Document the rationale for EMG and findings related to fasciculations.
Neurology specialists may require more detailed documentation of symptoms.
Document the frequency, duration, and location of fasciculations, as well as any associated symptoms or potential triggers.
