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ICD-10 Guide
ICD-10 CodesR94.138

R94.138

Abnormal results of other function studies of peripheral nervous system

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 R94.138 is a billable code used to indicate a diagnosis of abnormal results of other function studies of peripheral nervous system.

Key Diagnostic Point:

R94.138 is used to classify abnormal results from function studies of the peripheral nervous system that do not fall under more specific categories. These studies may include nerve conduction studies, electromyography (EMG), and other diagnostic tests that assess the functionality of peripheral nerves. Abnormal findings may indicate conditions such as neuropathy, radiculopathy, or other peripheral nerve disorders. Symptoms associated with these findings can include weakness, numbness, tingling, or pain in the extremities. The clinical context often involves patients presenting with unexplained neurological symptoms, prompting further investigation through specialized testing. Accurate coding requires a thorough understanding of the underlying conditions and the specific tests performed, as well as the clinical significance of the abnormal results.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential underlying conditions leading to abnormal results.
  • Need for precise documentation of the tests performed and their results.
  • Differentiation from other similar codes related to peripheral nervous system findings.
  • Potential overlap with other neurological conditions requiring careful coding.

Audit Risk Factors

  • Inadequate documentation of the specific tests performed.
  • Failure to link abnormal findings to a definitive diagnosis.
  • Misinterpretation of test results leading to incorrect coding.
  • Lack of clarity in the clinical notes regarding the patient's symptoms.

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed documentation of patient history, symptoms, and results of function studies.

Common Clinical Scenarios

Patients presenting with unexplained neuropathic symptoms, requiring nerve conduction studies.

Billing Considerations

Ensure that all relevant clinical findings are documented to support the abnormal results.

Emergency Medicine

Documentation Requirements

Acute care documentation must include immediate assessment findings and any function studies performed.

Common Clinical Scenarios

Patients with acute onset of weakness or sensory changes requiring rapid evaluation.

Billing Considerations

Document the urgency of the situation and any immediate interventions taken.

Coding Guidelines

Inclusion Criteria

Use R94.138 When
  • Follow official ICD
  • CM coding guidelines, ensuring that the code is used only when the abnormal results are not classified elsewhere
  • Document the clinical context and rationale for testing to support the use of this code

Exclusion Criteria

Do NOT use R94.138 When
No specific exclusions found.

Related CPT Codes

95900CPT Code

Nerve conduction studies, each nerve; motor, sensory, or mixed

Clinical Scenario

Used when nerve conduction studies are performed to assess peripheral nerve function.

Documentation Requirements

Document the specific nerves tested and the results.

Specialty Considerations

Ensure that the procedure is linked to the clinical findings justifying the study.

95860CPT Code

Electromyography, any muscle; with interpretation

Clinical Scenario

When EMG is performed to evaluate muscle and nerve function.

Documentation Requirements

Document the muscles tested and any abnormal findings.

Specialty Considerations

Link the EMG results to the clinical symptoms for accurate coding.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of abnormal results, improving the granularity of data collection and analysis. R94.138 provides a distinct code for abnormal peripheral nerve function studies, enhancing the ability to track and manage peripheral nervous system disorders.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of abnormal results, improving the granularity of data collection and analysis. R94.138 provides a distinct code for abnormal peripheral nerve function studies, enhancing the ability to track and manage peripheral nervous system disorders.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of abnormal results, improving the granularity of data collection and analysis. R94.138 provides a distinct code for abnormal peripheral nerve function studies, enhancing the ability to track and manage peripheral nervous system disorders.

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 types of tests are included under R94.138?

R94.138 encompasses various function studies of the peripheral nervous system, including nerve conduction studies and electromyography, which assess the functionality of peripheral nerves.

How do I document for R94.138 accurately?

Ensure that you document the patient's symptoms, the specific tests performed, the results of those tests, and any clinical correlation to support the use of R94.138.