Abnormal results of function studies of peripheral nervous system and special senses
ICD-10 R94.1 is a billable code used to indicate a diagnosis of abnormal results of function studies of peripheral nervous system and special senses.
R94.1 is used to classify abnormal results from function studies that assess the peripheral nervous system and special senses, such as vision and hearing. These studies may include nerve conduction studies, electromyography (EMG), and various sensory tests. Abnormal findings can indicate a range of conditions, including neuropathies, myopathies, and sensory deficits. Symptoms may include numbness, tingling, weakness, or sensory loss, which can significantly impact a patient's quality of life. The clinical context for this code often involves patients presenting with unexplained neurological symptoms, prompting further investigation through specialized testing. Accurate coding requires a thorough understanding of the underlying conditions that may lead to abnormal test results, as well as the specific tests performed and their outcomes.
Detailed documentation of patient history, symptoms, and specific tests performed, along with their results.
Patients presenting with unexplained neuropathic symptoms, requiring nerve conduction studies or EMG.
Ensure that all relevant clinical findings are documented to support the use of R94.1.
Acute care documentation must include immediate symptoms, test results, and any interventions performed.
Patients with acute onset of neurological symptoms requiring rapid assessment and testing.
Document the urgency of the situation and the rationale for testing to support coding.
Used when nerve conduction studies are performed to assess peripheral nerve function.
Document the specific nerves tested and the results.
Neurology specialists should ensure comprehensive documentation of findings.
When EMG is performed to evaluate muscle response.
Document the muscles tested and any abnormal findings.
Ensure that the clinical rationale for the EMG is clearly stated.
R94.1 includes results from nerve conduction studies, electromyography (EMG), and sensory testing for vision and hearing.
No, R94.1 should only be used when there are abnormal results from function studies that are clinically relevant.