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v1.0.0
ICD-10 Guide
ICD-10 CodesG61.1

G61.1

Billable

Serum neuropathy

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

Code Description

ICD-10 G61.1 is a billable code used to indicate a diagnosis of serum neuropathy.

Key Diagnostic Point:

Serum neuropathy, classified under G61.1, refers to a type of peripheral neuropathy that is associated with the presence of serum antibodies against peripheral nerve components. This condition can manifest as a result of various underlying causes, including autoimmune disorders, infections, or exposure to certain toxins. Clinically, patients may present with symptoms such as numbness, tingling, and weakness in the limbs, which can significantly impact their quality of life. The diagnosis of serum neuropathy often involves a thorough clinical evaluation, including a detailed patient history and physical examination, alongside electrodiagnostic studies. These studies, such as nerve conduction studies and electromyography, help to assess the electrical activity of nerves and muscles, aiding in the differentiation of serum neuropathy from other types of neuropathies. The management of serum neuropathy may include addressing the underlying cause, symptomatic treatment, and in some cases, immunotherapy. Accurate coding for this condition is crucial for appropriate reimbursement and to ensure that patients receive the necessary care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation from other types of neuropathies
  • Need for comprehensive documentation of clinical findings
  • Interpretation of electrodiagnostic study results
  • Potential overlap with autoimmune conditions

Audit Risk Factors

  • Inadequate documentation of serological tests
  • Failure to link symptoms to the diagnosis
  • Misinterpretation of electrodiagnostic results
  • Coding without sufficient clinical evidence

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed clinical notes, results of electrodiagnostic studies, and serological test results.

Common Clinical Scenarios

Patients presenting with unexplained peripheral neuropathy symptoms, requiring differential diagnosis.

Billing Considerations

Neurologists must ensure that all relevant tests are documented to support the diagnosis of serum neuropathy.

Rheumatology

Documentation Requirements

Documentation of autoimmune markers and correlation with neuropathic symptoms.

Common Clinical Scenarios

Patients with autoimmune diseases presenting with neuropathic symptoms.

Billing Considerations

Rheumatologists should document the relationship between autoimmune conditions and neuropathy clearly.

Coding Guidelines

Inclusion Criteria

Use G61.1 When
  • According to ICD
  • 10 guidelines, G61
  • 1 should be used when there is clear evidence of serum neuropathy linked to specific antibodies
  • Documentation must support the diagnosis, including clinical findings and results from relevant tests

Exclusion Criteria

Do NOT use G61.1 When
  • Exclusion criteria include other types of neuropathies that do not involve serum antibodies

Related ICD-10 Codes

Related CPT Codes

95900CPT Code

Nerve conduction studies

Clinical Scenario

Used to confirm the diagnosis of serum neuropathy through assessment of nerve function.

Documentation Requirements

Results of nerve conduction studies must be documented in the patient's medical record.

Specialty Considerations

Neurologists should ensure that the rationale for testing is clearly stated.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of neuropathies, including serum neuropathy, which enhances the ability to capture the complexity of these conditions and their underlying causes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of neuropathies, including serum neuropathy, which enhances the ability to capture the complexity of these conditions and their underlying causes.

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 serum neuropathy?

Common symptoms include numbness, tingling, weakness in the limbs, and pain, which can vary in severity and may affect daily activities.

How is serum neuropathy diagnosed?

Diagnosis typically involves a combination of clinical evaluation, serological testing for specific antibodies, and electrodiagnostic studies to assess nerve function.