2025 ICD-10-CM code A69.22
Other neurologic disorders in Lyme disease. This includes cranial neuritis, meningoencephalitis, and polyneuropathy.
Medical necessity is established by the presence of neurological symptoms attributed to Lyme disease. Documentation must support the diagnosis and demonstrate that the symptoms are a direct result of the infection.
Clinicians diagnose this condition based on patient history, physical examination, and neurological assessment focusing on motor and sensory functions. Imaging studies like cerebral angiography, EEG, and head CT scans may be used. Laboratory tests include cerebrospinal fluid (CSF) analysis and Western blot serum testing to detect B. burgdorferi. Treatment typically involves antibiotic therapy with penicillin and supportive care. Patient education on preventative measures, such as covering exposed skin outdoors and using insect repellent, is crucial.
In simple words: This code refers to nervous system problems caused by Lyme disease, other than meningitis. Lyme disease is an infection spread by tick bites.It can cause a variety of problems, including those affecting the brain and nerves. This code is used when the specific nerve problem isn't covered by a more precise code.
Other neurologic disorders in Lyme disease are complications that arise when the Borrelia burgdorferi bacterium spreads from the initial infection site to the nervous system.Lyme disease is transmitted to humans through the bite of infected black-legged ticks. This code is used when the specific neurologic disorder is not represented by another code in the Lyme disease category.
Example 1: A patient presents with facial palsy, confirmed to be caused by Lyme disease. Since facial palsy is a neurological manifestation not otherwise specified in the Lyme disease codes, A69.22 is used., A patient with a history of Lyme disease develops persistent peripheral neuropathy.After ruling out other causes, the physician determines it's a late manifestation of Lyme and uses code A69.22., A patient experiences seizures and altered mental status following a confirmed Lyme disease diagnosis.Tests rule out meningitis, and the neurologic symptoms are attributed to Lyme disease, leading to the application of code A69.22.
Documentation should include the patient's history of Lyme disease, evidence of neurological symptoms (e.g., cranial neuritis, meningoencephalitis, polyneuropathy), results of neurological examination, imaging findings (if applicable), laboratory test results (e.g., CSF analysis, Western blot), and details of treatment provided.
- Payment Status: Active
- Specialties:Infectious Disease, Neurology
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Office, Independent Clinic