Abnormal reflex
ICD-10 R29.2 is a billable code used to indicate a diagnosis of abnormal reflex.
Abnormal reflexes are clinical signs that indicate dysfunction in the nervous system, often resulting from neurological disorders. These reflexes can be exaggerated (hyperreflexia), diminished (hyporeflexia), or absent (areflexia). Abnormal reflexes may arise from various conditions affecting the central or peripheral nervous system, including spinal cord injuries, multiple sclerosis, neuropathies, or metabolic disorders. Clinically, abnormal reflexes can be assessed through physical examination techniques such as deep tendon reflex testing, which evaluates the integrity of the reflex arc. The presence of abnormal reflexes can provide critical insights into the underlying pathology, guiding further diagnostic workup and management. It is essential for healthcare providers to document the specific reflexes tested, the findings, and any associated symptoms to ensure accurate coding and appropriate treatment planning.
Detailed documentation of neurological examination findings, including specific reflexes tested and their results.
Patients presenting with unexplained weakness, sensory changes, or coordination issues.
Consider the patient's overall clinical picture and any comorbidities that may affect reflexes.
Acute care documentation must include a rapid neurological assessment and any immediate interventions.
Patients with acute neurological deficits, such as stroke or head trauma.
Timely documentation is crucial for acute care settings, and reflex findings should be correlated with other neurological signs.
Used to evaluate nerve function in patients with abnormal reflexes.
Document the specific nerves tested and the findings.
Neurology specialists often perform these studies.
Common causes include neurological disorders such as multiple sclerosis, spinal cord injuries, peripheral neuropathies, and metabolic conditions like diabetes.
Documentation should include the specific reflexes tested, the results, and any associated clinical findings or symptoms.
