Blackhorse Posted Wed 07th of August, 2019 17:07:39 PM
Patient reports 1.5 years history of left plantar foot numbness and tingling. She denies any low back or leg pain. She denies similar symptoms in the right foot. She denies focal weakness. She has a history of left foot and ankle surgery. Doctor wants to evaluate his peripheral neuropathy versus entrapment neuropathy. The study showed a left lower extremity peripheral polyneuropathy involving multiple motor and sensory nerves in the setting of chronic re-innervation changes noted on the EMG portion of the test. With a largely normal NCS and EMG of the right lower extremity, the above findings are suggestive but not diagnostic of a left lumbosacral radiculopathy involving the L5-S1 nerve roots versus an asymmetric peripheral polyneuropathy. Also, the electrodiagnostic study shows evidence of decreased amplitude of the left lateral plantar nerve to the ADM and the left tibial motor nerve to the AH and a concomitant left tarsal tunnel syndrome cannot entirely be excluded. What does it mean "peripheral neuropathy" and "entrapment neuropathy"? What diagnosis code that I can use for CPT 95912 and 95886 with California Medicare patient? I don't understand the above document, what the doctor try to diagnose?
SuperCoder Answered Thu 08th of August, 2019 10:13:56 AM
Hi Thanks for your question As per the documentation above the doctor recommends EMG and NCV studies to rule out whether the patient is suffering from peripheral neuropathy or entrapment neuropathy of left foot Code suggests that the provider assesses the electrical activity of a muscle in the extremity and...
Blackhorse Posted Thu 08th of August, 2019 18:22:15 PM
I have listed 3 questions and you are not able to answer any of them. Please have your supervisor take look at my questions. If nobody can help me with my questions, I need my money back.
SuperCoder Answered Fri 09th of August, 2019 09:30:44 AM
Hi There Greeting from the SuperCoder Team Hope you are keeping good nbsp We have gone through deeply with the query again and here are the findings Since the doctor s finding are suggestive it can t be coded as left lumbosacral radiculopathy or asymmetrical peripheral polyneuropathy and therefore you...