(Chapter 6)

Tags: icd10 neurological diagnosis

Code Range

G00-G99: Diseases of the nervous system

Key Categories for PM&R

Stroke/CVA (I60-I69)

CodeDescription
I63.50Cerebral infarction due to unspecified occlusion
I69.351Monoplegia of upper limb following cerebral infarction
I69.352Monoplegia of lower limb following cerebral infarction
I69.391Other sequelae of cerebral infarction

Stroke Specificity

Stroke codes require:

  • Type of stroke (hemorrhagic vs. ischemic)
  • Side affected (left/right)
  • Dominance (dominant/non-dominant side)
  • Time since event (acute vs. sequelae)

Peripheral Neuropathy

CodeDescription
G62.9Polyneuropathy, unspecified
G56.01Carpal tunnel syndrome, right upper limb
G56.02Carpal tunnel syndrome, left upper limb
G57.01Lesion of sciatic nerve, right lower limb

Movement Disorders

CodeDescription
G20Parkinson’s disease
G24.9Dystonia, unspecified
G25.0Essential tremor

Spinal Cord Disorders

CodeDescription
G82.20Paraplegia, unspecified
G82.50Quadriplegia, unspecified
G95.9Spinal cord disease, unspecified

Required Combinations

Diabetic Neuropathy

E11.40 (Type 2 diabetes with diabetic neuropathy) + G62.9 (Polyneuropathy)

Post-Stroke Rehabilitation

I69.3xx (Sequelae of cerebral infarction) + Z89.xxx (Acquired absence of limb, if applicable) + G81.9x (Hemiplegia, if applicable)

Acute vs. Chronic

Do not use acute stroke codes (I60-I64) for patients in rehabilitation after the acute phase. Use sequelae codes (I69) instead.

Functional Neurological Codes

CodeDescription
G89.29Other chronic pain
G89.4Chronic pain syndrome
R53.83Other fatigue
R26.81Unsteadiness on feet

PM&R Coding MOC ICD-10 for Musculoskeletal