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v1.0.0
ICD-10 Guide
ICD-10 CodesG65.0

G65.0

Billable

Sequelae of Guillain-Barré syndrome

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

Code Description

ICD-10 G65.0 is a billable code used to indicate a diagnosis of sequelae of guillain-barré syndrome.

Key Diagnostic Point:

Sequelae of Guillain-Barré syndrome (GBS) refers to the residual effects that persist after the acute phase of the syndrome has resolved. GBS is an autoimmune disorder characterized by rapid-onset muscle weakness and can lead to varying degrees of paralysis. The sequelae may include persistent weakness, sensory disturbances, and fatigue, which can significantly impact a patient's quality of life. Neurological assessments often reveal abnormalities in reflexes and muscle strength, and patients may experience neuropathic pain or dysautonomia. Treatment for sequelae typically involves physical therapy, occupational therapy, and pain management strategies. The prognosis varies, with some patients experiencing complete recovery while others may have long-term disabilities. Accurate coding of G65.0 is essential for appropriate management and reimbursement, as it reflects the ongoing challenges faced by patients recovering from GBS.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in patient presentation and severity of sequelae
  • Need for comprehensive documentation of neurological assessments
  • Differentiation from other neurological disorders
  • Potential for overlapping symptoms with other conditions

Audit Risk Factors

  • Inadequate documentation of sequelae
  • Failure to update patient records with ongoing assessments
  • Misidentification of symptoms as unrelated conditions
  • Lack of clarity in treatment plans and outcomes

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological assessments, including muscle strength tests, reflex evaluations, and sensory examinations.

Common Clinical Scenarios

Patients presenting with residual weakness, sensory changes, or pain following GBS.

Billing Considerations

Neurologists must ensure that all sequelae are documented to support the use of G65.0.

Physical Therapy

Documentation Requirements

Progress notes detailing therapy interventions, patient response, and functional improvements.

Common Clinical Scenarios

Patients undergoing rehabilitation for muscle weakness and mobility issues post-GBS.

Billing Considerations

Therapists should document specific functional goals and progress to support coding.

Coding Guidelines

Inclusion Criteria

Use G65.0 When
  • According to ICD
  • 10 guidelines, G65
  • 0 should be used when there is clear documentation of sequelae following an episode of Guillain
  • Barré syndrome
  • Coders must ensure that the sequelae are directly linked to the prior diagnosis of GBS and that other potential causes of symptoms are ruled out

Exclusion Criteria

Do NOT use G65.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

97001CPT Code

Physical therapy evaluation

Clinical Scenario

Used for initial assessment of a patient with sequelae of GBS.

Documentation Requirements

Detailed evaluation of physical function and limitations.

Specialty Considerations

Physical therapists should document specific goals and progress.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of sequelae, improving the ability to capture the complexity of conditions like GBS. This specificity aids in better patient management and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of sequelae, improving the ability to capture the complexity of conditions like GBS. This specificity aids in better patient management and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    Guillain-Barré Syndrome Foundation

Coding & Billing References

  • •
    Guillain-Barré Syndrome Foundation

Frequently Asked Questions

What are the common long-term effects of Guillain-Barré syndrome?

Common long-term effects include muscle weakness, sensory disturbances, fatigue, and pain. These sequelae can vary significantly among individuals.