Cervical root disorders, not elsewhere classified
ICD-10 G54.2 is a billable code used to indicate a diagnosis of cervical root disorders, not elsewhere classified.
Cervical root disorders encompass a range of conditions affecting the cervical nerve roots, which can lead to pain, weakness, and sensory disturbances in the upper extremities. These disorders may arise from various etiologies, including herniated discs, degenerative disc disease, trauma, or inflammatory processes. Symptoms often include radiculopathy, characterized by pain radiating along the nerve path, numbness, tingling, and muscle weakness. Diagnosis typically involves a thorough clinical evaluation, including a detailed history and physical examination, followed by imaging studies such as MRI or CT scans to visualize nerve root compression or damage. Electromyography (EMG) and nerve conduction studies (NCS) may also be utilized to assess the electrical activity of muscles and the speed of nerve conduction, aiding in the identification of specific nerve root involvement. Treatment options vary based on the underlying cause and may include conservative management with physical therapy, medications, or surgical interventions in more severe cases. Accurate coding of cervical root disorders is essential for appropriate reimbursement and to reflect the complexity of the patient's condition.
Detailed neurological examination findings, imaging results, and treatment plans.
Patients presenting with radicular pain, weakness, or sensory changes in the upper extremities.
Ensure comprehensive documentation of neurological deficits and response to treatment.
Surgical notes, pre-operative evaluations, and post-operative follow-ups.
Patients requiring surgical intervention for cervical radiculopathy or myelopathy.
Document the rationale for surgical intervention and any conservative treatments attempted.
Used to assess muscle response in patients with suspected cervical root disorders.
Document the reason for the EMG, findings, and any follow-up recommendations.
Neurologists should ensure that the EMG findings correlate with clinical symptoms.
G54.2 should be used when the cervical root disorder does not fit into more specific categories or when the underlying cause is not clearly defined in the documentation.
