Lesion of medial popliteal nerve, bilateral lower limbs
ICD-10 G57.43 is a billable code used to indicate a diagnosis of lesion of medial popliteal nerve, bilateral lower limbs.
The medial popliteal nerve, a branch of the sciatic nerve, is responsible for innervating the muscles and skin in the posterior aspect of the leg and the plantar aspect of the foot. A lesion of this nerve can result from various causes, including trauma, compression, or systemic diseases such as diabetes mellitus. Clinically, patients may present with symptoms such as pain, weakness, or sensory loss in the lower limbs, particularly affecting the calf and foot. Bilateral involvement suggests a systemic or bilateral compressive etiology, which may require further investigation to rule out underlying conditions such as peripheral neuropathy or entrapment syndromes. Diagnosis typically involves a thorough clinical examination, nerve conduction studies, and possibly imaging studies to assess for structural causes of nerve compression. Treatment may include conservative management such as physical therapy, pain management, and in some cases, surgical intervention to relieve compression. Accurate coding is essential for proper reimbursement and to reflect the complexity of the patient's condition.
Detailed neurological examination findings, including sensory and motor assessments.
Patients presenting with bilateral leg weakness or pain, requiring nerve conduction studies.
Ensure clear documentation of the patient's history and any comorbid conditions that may contribute to neuropathy.
Imaging studies and surgical notes if surgical intervention is performed.
Patients with traumatic injuries leading to nerve compression or lesions.
Document any surgical procedures performed to relieve nerve compression.
Used to assess the function of the medial popliteal nerve.
Document the rationale for the nerve conduction study and findings.
Neurologists should ensure comprehensive documentation of the patient's neurological status.
Common causes include trauma, compression from adjacent structures, systemic diseases like diabetes, and repetitive stress injuries.
