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ICD-10 Guide
ICD-10 CodesR94.13

R94.13

Abnormal results of function studies of peripheral nervous system

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 R94.13 is a billable code used to indicate a diagnosis of abnormal results of function studies of peripheral nervous system.

Key Diagnostic Point:

R94.13 is used to classify abnormal results from function studies of the peripheral nervous system, which may include nerve conduction studies, electromyography (EMG), and other diagnostic tests assessing the functionality of peripheral nerves. These tests are crucial for diagnosing conditions such as neuropathies, radiculopathies, and myopathies. Abnormal results may manifest as reduced conduction velocities, prolonged latencies, or abnormal muscle responses, indicating potential nerve damage or dysfunction. Common symptoms associated with these findings include weakness, numbness, tingling, and pain in the extremities. The clinical context often involves patients presenting with symptoms suggestive of peripheral nerve disorders, prompting further investigation through these specialized studies. Accurate coding of R94.13 requires a thorough understanding of the underlying conditions and the specific tests performed, as well as the clinical significance of the abnormal findings.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying conditions that can cause abnormal results
  • Need for precise documentation of test results and clinical correlation
  • Differentiation from other neurological codes
  • Potential for overlapping symptoms with other diagnoses

Audit Risk Factors

  • Inadequate documentation of test results
  • Failure to correlate abnormal findings with clinical symptoms
  • Misuse of the code in the absence of confirmed peripheral nerve dysfunction
  • Inconsistent coding practices across different specialties

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed documentation of patient history, symptoms, and results of function studies is essential. Include specific test results and their clinical implications.

Common Clinical Scenarios

Patients presenting with unexplained neuropathic symptoms, requiring nerve conduction studies to assess peripheral nerve function.

Billing Considerations

Consider comorbid conditions that may affect peripheral nerve function, such as diabetes or autoimmune disorders.

Emergency Medicine

Documentation Requirements

Acute care documentation should include immediate symptoms, test results, and any interventions performed.

Common Clinical Scenarios

Patients with acute onset of weakness or sensory loss, necessitating rapid assessment and function studies.

Billing Considerations

In emergency settings, rapid decision-making is crucial; ensure that documentation reflects the urgency and rationale for testing.

Coding Guidelines

Inclusion Criteria

Use R94.13 When
  • Follow official ICD
  • CM coding guidelines, ensuring that the code is only used when there is clear documentation of abnormal function studies related to the peripheral nervous system
  • Ensure that the clinical context supports the use of this code

Exclusion Criteria

Do NOT use R94.13 When
No specific exclusions found.

Related CPT Codes

95900CPT Code

Nerve conduction studies

Clinical Scenario

Used when assessing for peripheral nerve dysfunction.

Documentation Requirements

Document the specific nerves tested and the results.

Specialty Considerations

Neurology and physical medicine specialties frequently utilize this code.

95860CPT Code

Electromyography (EMG)

Clinical Scenario

Performed to evaluate muscle response and nerve function.

Documentation Requirements

Include details of the muscles tested and findings.

Specialty Considerations

Commonly used in neurology and rehabilitation medicine.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of abnormal findings, improving the accuracy of data collection and reimbursement processes. R94.13 provides a clear classification for abnormal peripheral nerve function studies, enhancing clinical documentation and coding precision.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of abnormal findings, improving the accuracy of data collection and reimbursement processes. R94.13 provides a clear classification for abnormal peripheral nerve function studies, enhancing clinical documentation and coding precision.

Reimbursement & Billing Impact

reimbursement processes. R94.13 provides a clear classification for abnormal peripheral nerve function studies, enhancing clinical documentation and coding precision.

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

When should R94.13 be used?

R94.13 should be used when there are abnormal results from function studies of the peripheral nervous system, and these findings are documented in the patient's medical record.

Can R94.13 be used for patients with known peripheral neuropathy?

Yes, R94.13 can be used if the function studies reveal new or worsening abnormalities that are not accounted for by the existing diagnosis.