Mononeuropathies of upper limb
Chapter 6:Diseases of the nervous system
ICD-10 G56 is a billable code used to indicate a diagnosis of mononeuropathies of upper limb.
Mononeuropathies of the upper limb refer to a group of conditions characterized by the dysfunction of a single peripheral nerve in the upper extremity. These conditions can arise from various etiologies, including trauma, compression, or systemic diseases. Common examples include carpal tunnel syndrome (median nerve entrapment), ulnar nerve entrapment at the elbow, and radial nerve palsy. Symptoms typically include pain, numbness, tingling, and weakness in the affected area, which can significantly impact daily activities and quality of life. Diagnosis often involves a thorough clinical examination, patient history, and may include nerve conduction studies (NCS) to assess the electrical activity of the nerves. Treatment options vary based on the underlying cause and may include conservative management such as splinting and physical therapy, or surgical intervention in more severe cases. Accurate coding is essential for proper reimbursement and to reflect the complexity of the patient's condition.
Detailed neurological examination findings, results of nerve conduction studies, and patient history.
Patients presenting with numbness and tingling in the hand, weakness in grip strength, or pain radiating from the elbow to the hand.
Ensure that all relevant diagnostic tests are documented to support the diagnosis and coding.
Surgical notes, imaging studies, and pre-operative assessments.
Patients with traumatic injuries leading to nerve compression or entrapment requiring surgical intervention.
Document the mechanism of injury and any surgical findings to support coding.
Used to confirm diagnosis of mononeuropathy.
Document the specific nerves tested and the results.
Neurologists should ensure comprehensive reporting of findings.
Common causes include repetitive strain injuries, trauma, systemic diseases like diabetes, and anatomical variations leading to nerve compression.
