P Posted Wed 10th of July, 2019 14:00:19 PM
Patient has right foot drop and mild numbness of the distal leg. Doctor did EMG and tried to evaluate any evidence of peripheral neuropathy. There is no electrodiagnostic evidence of peripheral polyneuropathy. This is Medicare patient. I searched Noridian LCD, and don't know which ICD-10 code should be used for peripheral neuropathy in order to bill 95911 and 95886.
SuperCoder Answered Thu 11th of July, 2019 04:33:14 AM
You cannot code ICD-10CM for peripheral neuropathy as there is no evidence of peripheral polyneuropathy on electrodiagnostic test.
ICD-10CM signs and symptoms codes should be used to provide medical necessity for a procedure or service when there is not a more specific diagnosis available to the provider. So, the sign and symptoms will be considered appropriate diagnosis such as right foot drop and mild numbness for which patient is coming for.
As per Noridian LCD, it covers the diagnosis of right foot drop (M21.371) and mild numbness (R20.0) for CPT 95911 and 95886.