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ICD-10 Guide
ICD-10 CodesG52.2

G52.2

Billable

Disorders of vagus nerve

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

Code Description

ICD-10 G52.2 is a billable code used to indicate a diagnosis of disorders of vagus nerve.

Key Diagnostic Point:

Disorders of the vagus nerve, classified under G52.2, encompass a range of conditions affecting the tenth cranial nerve, which plays a crucial role in autonomic control of the heart, lungs, and digestive tract. These disorders can manifest as neuropathies, nerve entrapments, or dysfunctions leading to symptoms such as dysphagia, hoarseness, and gastrointestinal disturbances. The vagus nerve is responsible for transmitting sensory information from the internal organs to the brain and vice versa, making its proper functioning essential for homeostasis. Conditions affecting the vagus nerve may arise from various etiologies, including trauma, compression, or systemic diseases like diabetes mellitus. Diagnosis often involves clinical evaluation, nerve conduction studies, and imaging techniques to assess nerve integrity and function. Treatment may include symptomatic management, physical therapy, or surgical interventions in cases of severe entrapment or injury. Understanding the complexities of vagus nerve disorders is vital for accurate coding and effective patient management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of symptoms that can overlap with other conditions
  • Need for comprehensive documentation to support diagnosis
  • Potential for misdiagnosis with other cranial nerve disorders
  • Variability in treatment approaches based on underlying causes

Audit Risk Factors

  • Inadequate documentation of symptoms and clinical findings
  • Failure to include results from nerve conduction studies
  • Misalignment between diagnosis and treatment provided
  • Inconsistent use of related codes for co-existing conditions

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, results of nerve conduction studies, and any imaging studies performed.

Common Clinical Scenarios

Patients presenting with unexplained gastrointestinal symptoms, voice changes, or syncope.

Billing Considerations

Neurologists must ensure that all relevant symptoms are documented to support the diagnosis of vagus nerve disorders.

Gastroenterology

Documentation Requirements

Documentation of gastrointestinal symptoms, response to treatments, and any relevant imaging or endoscopic findings.

Common Clinical Scenarios

Patients with dysphagia, gastroparesis, or unexplained abdominal pain.

Billing Considerations

Gastroenterologists should correlate gastrointestinal symptoms with potential vagus nerve involvement.

Coding Guidelines

Inclusion Criteria

Use G52.2 When
  • According to ICD
  • 10 coding guidelines, G52
  • 2 should be used when there is clear documentation of vagus nerve involvement
  • It is important to ensure that the diagnosis is supported by clinical findings and diagnostic tests, such as nerve conduction studies

Exclusion Criteria

Do NOT use G52.2 When
  • Exclusion criteria include conditions that do not specifically involve the vagus nerve

Related ICD-10 Codes

Related CPT Codes

95903CPT Code

Nerve conduction study, each nerve

Clinical Scenario

Used to evaluate nerve function in patients suspected of having vagus nerve disorders.

Documentation Requirements

Results of the nerve conduction study must be documented, including the specific nerves tested.

Specialty Considerations

Neurologists should ensure that the study correlates with clinical findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of vagus nerve disorders, improving the accuracy of diagnoses and treatment plans. It has also facilitated better tracking of these conditions in clinical practice.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of vagus nerve disorders, improving the accuracy of diagnoses and treatment plans. It has also facilitated better tracking of these conditions in clinical practice.

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 are the common symptoms of vagus nerve disorders?

Common symptoms include dysphagia, hoarseness, gastrointestinal disturbances, and autonomic dysfunction such as syncope.

How is a vagus nerve disorder diagnosed?

Diagnosis typically involves a thorough clinical evaluation, nerve conduction studies, and imaging to assess nerve integrity.