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ICD-10 Guide
ICD-10 CodesG61.82

G61.82

Billable

Multifocal motor neuropathy

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

Code Description

ICD-10 G61.82 is a billable code used to indicate a diagnosis of multifocal motor neuropathy.

Key Diagnostic Point:

Multifocal motor neuropathy (MMN) is a rare, acquired disorder characterized by progressive weakness and atrophy of the muscles, primarily affecting the upper limbs. It is caused by a demyelinating process that affects multiple motor nerves, leading to asymmetric weakness and muscle wasting. Patients often present with symptoms such as muscle cramps, fatigue, and difficulty with fine motor tasks. The condition is distinct from other neuropathies due to its focal nature and the presence of conduction block on electrodiagnostic studies. Diagnosis typically involves a combination of clinical evaluation, nerve conduction studies, and electromyography (EMG), which reveal specific patterns of motor nerve involvement. MMN is often associated with anti-GM1 antibodies, and treatment may include intravenous immunoglobulin (IVIg) therapy, which can lead to significant improvement in muscle strength and function. Early diagnosis and intervention are crucial to prevent further disability and improve quality of life.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of specific clinical presentation and symptoms.
  • Differentiation from other neuropathies such as CIDP (Chronic Inflammatory Demyelinating Polyneuropathy).
  • Need for accurate interpretation of electrodiagnostic studies.
  • Potential overlap with other motor neuron diseases.

Audit Risk Factors

  • Inadequate documentation of clinical symptoms.
  • Failure to document results of electrodiagnostic studies.
  • Misdiagnosis due to similarity with other neuropathies.
  • Lack of documentation regarding treatment response.

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed clinical notes including symptom onset, progression, and results of electrodiagnostic studies.

Common Clinical Scenarios

Patients presenting with asymmetric weakness, muscle cramps, and atrophy.

Billing Considerations

Ensure documentation includes antibody testing and treatment plans.

Physical Medicine and Rehabilitation

Documentation Requirements

Functional assessments and treatment plans focusing on rehabilitation goals.

Common Clinical Scenarios

Patients requiring therapy for muscle weakness and coordination issues.

Billing Considerations

Documenting progress and response to therapy is crucial for coding.

Coding Guidelines

Inclusion Criteria

Use G61.82 When
  • According to the ICD
  • CM coding guidelines, G61
  • 82 should be used when the clinical documentation supports a diagnosis of multifocal motor neuropathy
  • It is important to ensure that the diagnosis is confirmed through appropriate electrodiagnostic studies and that the clinical presentation aligns with the coding criteria

Exclusion Criteria

Do NOT use G61.82 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

95860CPT Code

Electromyography (EMG)

Clinical Scenario

Used to confirm diagnosis of MMN through nerve conduction studies.

Documentation Requirements

Document the specific muscles tested and findings.

Specialty Considerations

Neurologists should ensure comprehensive reporting of EMG results.

36415CPT Code

Nerve conduction studies

Clinical Scenario

Performed to assess conduction block in suspected MMN cases.

Documentation Requirements

Include details of the nerves tested and results.

Specialty Considerations

Documentation must clearly indicate the rationale for testing.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of multifocal motor neuropathy, improving the accuracy of data collection and reimbursement processes. It has also facilitated better tracking of this rare condition in clinical practice.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of multifocal motor neuropathy, improving the accuracy of data collection and reimbursement processes. It has also facilitated better tracking of this rare condition in clinical practice.

Reimbursement & Billing Impact

reimbursement processes. It has also facilitated better tracking of this rare condition in clinical practice.

Resources

Clinical References

  • •
    American Academy of Neurology
  • •
    National Institute of Neurological Disorders and Stroke

Coding & Billing References

  • •
    American Academy of Neurology
  • •
    National Institute of Neurological Disorders and Stroke

Frequently Asked Questions

What are the key symptoms of multifocal motor neuropathy?

Key symptoms include asymmetric muscle weakness, muscle cramps, and atrophy, primarily affecting the upper limbs.

How is multifocal motor neuropathy diagnosed?

Diagnosis is made through clinical evaluation, nerve conduction studies showing conduction block, and the presence of anti-GM1 antibodies.

What treatments are available for multifocal motor neuropathy?

Treatment options include intravenous immunoglobulin (IVIg) therapy, which can improve muscle strength and function.