Inflammatory polyneuropathy
Chapter 6:Diseases of the nervous system
ICD-10 G61 is a billable code used to indicate a diagnosis of inflammatory polyneuropathy.
Inflammatory polyneuropathy refers to a group of disorders characterized by inflammation of the peripheral nerves, leading to symptoms such as weakness, numbness, and pain. This condition can arise from various etiologies, including autoimmune diseases, infections, and toxic exposures. The most common form is Guillain-Barré syndrome (GBS), which often follows a respiratory or gastrointestinal infection. Patients may present with rapidly progressive weakness, often starting in the legs and ascending to the upper body. Diagnosis typically involves clinical evaluation, nerve conduction studies, and lumbar puncture to assess cerebrospinal fluid (CSF) for elevated protein levels. Treatment may include immunotherapy, such as intravenous immunoglobulin (IVIG) or plasmapheresis, aimed at reducing the immune response. The prognosis varies, with many patients experiencing significant recovery, although some may have residual symptoms. Accurate coding is essential for appropriate management and reimbursement.
Detailed neurological examination findings, results of electrodiagnostic studies, and any relevant laboratory tests.
Patients presenting with acute onset of weakness, sensory changes, or pain following an infection.
Ensure that the documentation clearly differentiates between inflammatory and non-inflammatory neuropathies.
Functional assessments, treatment plans, and progress notes detailing rehabilitation efforts.
Patients requiring rehabilitation post-acute inflammatory polyneuropathy for recovery of strength and function.
Document the extent of functional impairment and the impact on daily living activities.
Used to confirm diagnosis of inflammatory polyneuropathy.
Document the specific nerves tested and the findings.
Neurologists should ensure that the studies are interpreted in the context of clinical findings.
Common symptoms include weakness, numbness, tingling, and pain, often starting in the legs and potentially ascending to the upper body.
Diagnosis typically involves a combination of clinical evaluation, nerve conduction studies, and lumbar puncture to assess cerebrospinal fluid.
