This is the American ICD-10-CM version of G62. A condition where damage to the peripheral nervous. Diabetic neuropathy (DN) is the most common form of neuropathy in developed countries and may affect about half of all patients with diabetes (DM), contributing to substantial morbidity and mortality and resulting in a huge economic burden. This can be a centralized neuropathy due to paralysis of extremities via the distribution of neurotomes or a peripheralized neuropathy. g. Over the last two decades, significant. ICD-10-CM Diagnosis Code K63. Objective: To discern the central (CNS) and peripheral nervous system (PNS) manifestations associated with COVID-19 vaccines from individual case studies and describe their clinical and imaging findings, management, and outcomes. Prognosis in Small Fiber Neuropathy. 2 In SFN, the small-diameter unmyelinated and/or thinly myelinated sensory and autonomic fibers are predominantly affected, although most patients with severe or advanced. These mechanisms are. Preceding illnesses, immunizations, or trauma. Authors Jorge A Trevino 1 , Peter Novak 1 Affiliation 1 Department of. G62 Other and unspecified polyneuropathies. The gold standard for small-fiber neuropathy is assessment of intra-epidermal nerve fiber density measurements by skin punch biopsy. ICD-10-CM Diagnosis Code E10. 0 [convert to ICD-9-CM] Hereditary motor and sensory neuropathy. Methods: All patients with pSS-SFN, i-SFN, and hATTR-SFN confirmed by reduced. Other hereditary and idiopathic neuropathies. Idiopathic small fiber peripheral neuropathy; Neuropathy (nerve damage), hereditary sensory; Notalgia paresthetica; Dominantly inherited sensory neuropathy; Morvan's disease; Nelaton's syndrome; Recessively inherited sensory neuropathy. The 2024 edition of ICD-10-CM G60. Small fiber neuropathy typically involves distal degeneration of small or unmyelinated nerve fibers. Stenosis. 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM) Reimbursement claims with a date of service on or after October 1, 2015 require the use. G60. ICD-10-CM Diagnosis Code E10. 3. Idiopathic small fiber peripheral neuropathy; Neuropathy (nerve damage), hereditary sensory; Notalgia paresthetica; Dominantly inherited sensory neuropathy; Morvan's disease; Nelaton's syndrome; Recessively inherited sensory neuropathy. 8 [convert to ICD-9-CM] Other hereditary and idiopathic neuropathies Idiopathic small fiber peripheral neuropathy; Neuropathy. 13. The successful identification of immune-mediated. Small fiber neuropathy can be caused by diabetes and various other types of inflammatory or noninflammatory diseases. DPN leads to degenerative and atrophic changes throughout the peripheral and central nervous system (7, 17). Non-Billable On/After Oct 1/2015. 9 ?. These fibers, categorized as C fibers, are present in skin, peripheral nerves, and organs. FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. However, there is no golden standard to establish SFN and diagnostic tests for SFN are not widely. Purpose of the Review Alcohol abuse causes a wide range of disorders that affect the nervous system. 3XXA. Here are the commonly used ICD-10 codes for Peripheral Neuropathy and their billability status: G60. The pattern of neuropathy is different for polyneuropathy caused by direct HIV infection, which affects all fibers, compared with that induced by antiretroviral treatment, which affects small fibers. The differential diagnosis of demyelinating neuropathies includes immune-mediated, toxic, and hereditary etiologies. 8 [convert to ICD-9-CM] Other hereditary and idiopathic neuropathies. As a result, small-fiber neuropathy remains a primarily clinical diagnosis. c-fibers) associated with burning pain; distal lower limbs Thalidomide: sensory neuropathy – prominent paresthesia in the hands and feet along with numbness and mild motor dysfunction: Epothilones >40 mg/ m 2 : 15-64%: dose per treatment cycle, duration of infusion, and cumulative doseSmall fiber neuropathy (SFN) is a type of peripheral neuropathy that occurs from damage to the small A-delta and C nerve fibers that results in the clinical condition known as SFN. Small fiber sensory neuropathy happens when the small fibers of the peripheral nervous system are damaged. IDC 10 diagnosis code for large fiber axonal polyneuropathy. 11. Damage to the covering of the nerve cell causes nerve signals to slow or stop. 5%, respectively . Fracture of tibia or fibula following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg. 00. Skin biopsy with intraepidermal nerve fiber density (IENFD) assessment has been promoted as a diagnostic tool for such patients. ICD-10-CM Diagnosis Code G60. ICD-10 Description HCC G60. The ICD code G608 is used to code Small fiber peripheral neuropathy. Critical illness polyneuropathy. 89 [convert to ICD-9-CM] Other specified polyneuropathies. 856. Overview of polyneuropathy. The occurrence of neuropathy, as demonstrated in Obiako et al. 1 may differ. Aetna considers measurement of intra-epidermal nerve fiber density (IENFD) by skin biopsy medically necessary for the diagnosis of small-fiber neuropathy when all of the following criteria are met: Individual presents with painful sensory neuropathy; and. Introduction: We compared histological and clinical profiles of primary Sjögren syndrome (pSS) small fiber neuropathy (SFN; pSS-SFN) with idiopathic SFN (i-SFN) and hereditary transthyretin amyloidosis SFN (hATTR-SFN) and described the evolution of pSS-SFN. The nerves that make. Immunoglobulin therapy has been used increasingly with significant efficacy in the treatment of patients with disabling autoimmune forms of dysautonomia, which are most often small fiber (autonomic and/or sensory) polyneuropathies. For instance, Charcot-Marie-Tooth (CMT) disease, one of the most common types of hereditary neuropathies, affects the motor and sensory nerves. The symptoms of small fiber sensory neuropathy are primarily sensory in nature and include unusual sensations such as pins-and-needles, pricks, tingling and numbness. Small fiber neuropathy (SFN) is a disease of the peripheral nervous system characterized by isolated or predominant damage to the thinly myelinated Aδ-fibers and/or the unmyelinated C‑fibers. The 2024 edition of ICD-10-CM G61. My large fiber peripheral neuropathy is considerably worsened by sitting. Autoimmune Axonal Neuropathy Profile. [Article in German] PMID: 30125923. Idiopathic small fiber peripheral neuropathy; Neuropathy (nerve damage), hereditary sensory; Notalgia paresthetica; Dominantly inherited sensory neuropathy; Morvan's disease; Nelaton's syndrome; Recessively inherited sensory neuropathy. Epidermal nerve twig analysis via skin biopsy is sometimes done if small fiber neuropathy is suspected. While granulomatous nerve involvement is rare in sarcoidosis, SFN is reported in over 40% of systemic cases. PN can be felt as skin sensitivity, numbness, prickling or tingling, muscle weakness, or pain. Out. This is a proof-of-concept study to examine whether a chronic, bilateral increase in insular glutamate can be a causal factor in the development of small fiber neuropathy in FM. They may be caused by gene mutations, toxin or drug exposure, physical trauma, or inflammation. Whole-body computerized tomography scan: The scan can detect lymphadenopathy,. 89) at VCUHS . Sensorimotor polyneuropathy is a bodywide (systemic) process that damages nerve cells, nerve fibers (axons), and nerve coverings ( myelin sheath). Small fiber peripheral neuropathy is a type of peripheral neuropathy that occurs from damage to the small unmyelinated peripheral nerve fibers. ICD-10-CM Diagnosis Code Z12. 3 - other international versions of ICD-10 G60. The search was conducted in PubMed, EMBASE, Cochrane Library and Web. SARS-CoV-2 Infection (COVID-19) and Neuropathy. The following code (s) above G61. 3 Idiopathic progressive neuropathy. Showing 1-25: ICD-10-CM Diagnosis Code G90. Diabetic polyneuropathy is a small fiber neuropathy, which involves the sensory A≏ and C fibers. Hypertrophic neuropathy of infancy. 821. Although there may sometimes be significant overlap between these symptoms, patients with SFN can be thought of in terms of their clinical phenotypes as a. 09 became effective on October 1, 2021. The etiology of small fiber neuropathy (SFN) often remains unclear. This is the American ICD-10-CM version of G60. Sensory dominant forms are uncommon. For those with a normal NCS/EMG, a skin biopsy showed a non-length-dependent small fiber neuropathy. Since 3-mm punch skin biopsy is minimally invasive and well-Search Results. Search Results. They followed 566 patients with neuropathy. A systematic review conducted in 2011 found a significant proportion of participants with IGT have mainly small nerve fiber deficits. Neuropathy (nerve damage), multifocal motor. 89) at VCUHS . small-fiber sensory neuropathy, large-fiber sensory neuropathy, sensorimotor neuropathy, and autonomic neuropathy (Shy-Drager syndrome). 99%) than those (66. Post-COVID condition (RA02 in ICD-11), also known as long covid, and Myalgic Encephalomyelitis or Chronic Fatigue Syndrome (ME/CFS) (8E49 in ICD-11) are. Neuropathy is an abnormal and usually degenerative state of the nervous system or nerves. The form of neuropathy can be broken down by the size of the fiber involvement (that is, small-fiber or large-fiber neuropathy). A differential diagnosis can help guide optimal therapies. 2022 - New Code 2023 2024 Billable/Specific Code. Small fiber neuropathy (SFN) is a heterogeneous disease characterized by pain, dysesthesia, and autonomic dysfunction, exclusively involves small nerve fibers, and spares the large nerve fibers. G60. 5% and 12. Autonomic neuropathy in diseases classified elsewhere. The clinical manifestations of SjD, however, include both exocrine gland involvement and extraglandular disease features, among which are an array of syndromes affecting the peripheral and central. 44. 255 results found. However, a Veteran may be entitled to a maximum rating of 40% disability benefits for each extremity affected. 2008) and is. One patient was diagnosed with critical illness axonal neuropathy and another with multifocal demyelinating neuropathy 3 weeks after mild COVID, and ≥10 received small-fiber neuropathy diagnoses. Support Tag: [1003 - 104. 0. Being as physically active as possible can reduce cramps, improve balance, and build strength, helping prevent muscle atrophy. ICD-10-CM Code for Hereditary and idiopathic neuropathy, unspecified G60. 11 It can become a useful tool in the diagnosis of this condition in children. Peripheral neuropathy, a common neurologic problem encountered by family physicians, can be classified clinically by the anatomic pattern of presenting. Disease definition. burning, stabbing or shooting pain in affected areas. Background. The authors suggested that sensory neuropathy was due to small and large fiber dysfunction, a finding that in agreement with other studies 17. An abnormal clonal proliferation of B-lymphocytes or plasma cells, which may or may not occur in the context of a hematologic malignancy, produces the immunoglobulins in. Peripheral nerve disorders in sarcoidosis consist of granulomatous neuropathy and non-granulomatous small fiber neuropathy (SFN), which differ in their underlying pathology, diagnostic methods and treatment. These include confusion, cerebellar ataxia, peripheral neuropathy, and cognitive impairment. Ratings are determined based on the severity of the Veteran’s displayed and recorded symptoms. Peripheral neuropathy refers to conditions that irritate or damage the nerves that connect our body to the central nervous system—that is, the spinal cord and brain. We therefore aimed to characterize patients with SFN and Sjögren’s syndrome to raise awareness of this disease and facilitate its early recognition as an essential step for appropriate treatment. . Life-threatening symptoms, such as difficulty breathing or irregular heartbeat. The typicalNeuropathy gets even more common during cancer treatment. 8. CPT Codes / HCPCS Codes / ICD-9 Codes The following codes are included below for informational purposes. Identification and Diagnosis. Neuropathy is an abnormal and usually degenerative state of the nervous system or nerves. G60. Small fiber neuropathy in DM may also lead to autonomic nervous system deficits in addition to cutaneous sensory loss and pain. Applicable To. ICD-10 Codes; Lab Certifications & Accreditations; Lab Data Integrations & Tools Toggle Lab Data Integrations & Tools. There is an un-met need for a simple, reliable and accurate test for the early detection of diabetic peripheral neuropathy (DPN) which may help reduce the incidence of ulcers and. Hereditary motor and sensory neuropathy, types I-IV. It is part of the Diagnostic Related Group (DRG) 074 and has annotation back-references to G00-G99 and G60-G65. 2 It can be a predominant or heralding feature of a generalized. G60. Left suprascapular neuropathy; Suprascapular nerve disorder; ICD-10-CM G56. The anesthesiologist explained the risks prior to the knee replacement. These fibers, categorized as C fibers, are present in skin, peripheral nerves, and organs. Sample Requirements. 3 became effective on October 1, 2023. In addition, they report autonomic symptoms such as palpitations,. Background and Purpose. MS-related neuropathy occurs when there is damage to the myelin that surrounds nerves in the central nervous system. The presenting symptoms, acuity, time course, severity, and subsequent morbidity vary and depend on the type of fiber that is affected and the underlying cause. Congenital deformities of feet. Skin biopsy can also identify the underlying cause of small fiber neuropathy when concurrent conditions such as diabetes mellitus emerge (Hoeijmakers. Go to: Continuing Education Activity Small fiber neuropathy presents with burning pain, often beginning in. This is the American ICD-10-CM version of G90. We tested the hypothesis that acquired small-fiber polyneuropathy (SFPN), previously uncharacterized in children, contributes to. 0): 123 Neurological eye disorders; Convert H47. Synonyms. Methods: Patients diagnosed with EDS underwent clinical, neurophysiologic, and skin biopsy assessment. Rheumatol. Charcot-Marie-Tooth disease. Applicable To. The evaluation should include the most likely causes (i. As an example, a chemical mediator secreted by small fibers (semaphorin 3a) keeps our bones strong. 54. Department of Neurology, Massachusetts General Hospital, 275 Charles St/Warren 310, Boston, MA 02114, USA. The 2024 edition of ICD-10-CM E10. 9 Hereditary and idiopathic neuropathy, unspecified . Mod. 2 - other international versions of ICD-10 G60. As shown in Figure 1, patients with SFN can present with a wide variety of symptoms, both somatic and autonomic. E10. SFN occurs from damage to small peripheral nerve fibers and primarily affects three types of fibers: (1) unmyelinated C-fibers, (2) sympathetic and. Small Fiber Neuropathy. G60. We highlight the role of three mechanisms—autoimmunity, neuroinflammation, and small fiber neuropathy—in the pathogenesis of the disease. Code History. e. Etiology. Code History. In: Cleveland Clinic Journal of Medicine. Our study shows the interest of skin biopsy, Laser Evoked Potentials, Quantitative Sensory Testing and Electrochemical Skin Conductance measurement for the diagnosis of Small Fiber Neuropathy. ICD-10-CM Code for Other idiopathic peripheral autonomic neuropathy G90. 3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2009 Mai;76(5),. OBJECTIVE The neuropathy associated with monoclonal gammopathy of undetermined significance (MGUS) is typically a predominantly demyelinating process that may have additional features of axonal degeneration. 81 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Early diagnosis of small fiber neuropathy and identifying the underlying. Other hereditary and idiopathic neuropathies. Background: Post COVID-19 “long-haul” syndrome include chronic fatigue, brain fog, sleep disturbance and paraesthesias. This study. G60. G62. 0 - other international versions of ICD-10 G60. This test can be performed in the clinic if needed, but it is an invasive approach that is rarely necessary for routine diagnosis of DPN and is used primarily for research purposes . 8 [convert to ICD-9-CM] Other hereditary and idiopathic neuropathies. 81 may differ. Autonomic neuropathy; Hereditary or idiopathic neuropathy; Hereditary peripheral neuropathy; Idiopathic peripheral neuropathy; Neuropathy (nerve damage), autonomic;. Idiopathic small fiber peripheral neuropathy; Neuropathy (nerve damage), hereditary sensory; Notalgia paresthetica;. Damage to the nerve fiber or entire. The ICD code G628 is used to code Small fiber peripheral neuropathy. The other thing to keep in mind is that G62. If these studies are normal, a. Small fiber neuropathy – In a small study of patients with physician-diagnosed mast cell activation syndrome, 80 percent of those with and without HaT were found to have small fiber neuropathy associated with autonomic dysfunction distinct from POTS . Idiopathic progressive neuropathy can code G60. 10. Nearly 7% of the general population suffer chronic neuropathic pain responsible for severe quality-of-life impairments. This is the American ICD-10-CM version of G62. Skin biopsy with epidermal nerve fiber density measurement for the diagnosis of small‐fiber neuropathy may be reimbursable when ALL of these conditions are met: a. G90. Small-Fiber-Neuropathien. Typically, it affects the lower extremities. Tongue appearance is pretty normal. 6,10,11,20,21 In series of sensory-only or small fiber neuropathy patients, there appear to be equal numbers of men and women. Here's an article that kind of explains the risk. Vasculitis can affect any organ or tissue, including the peripheral nerves. [ Read More ] Regarding Billing. Small fiber neuropathies have been assessed using SUDOSCAN in different diseases and therapeutic areas. CIDP can be monophasic, relapsing,. Controlled. Transplantation of Small Intestine, Allogeneic, Open ApproachOther hereditary and idiopathic neuropathies. Diabetic polyneuropathy (DPN) is a common and serious diabetes complication. G. We searched the MEDLINE database for the terms (and its respective. G62. SFN is associated with conditions like diabetes mellitus and autoimmune diseases, but in 53% of the patients, the etiology remains unknown. 9, which stands for "Polyneuropathy, unspecified," is an appropriate code for this case study. Test number copied. Retinal nerve fiber layer myelinated; ICD-10-CM H47. Genetic and autoimmune etiology is. An EMG study was conducted at that time and interpreted to show primarily small fiber sensory peripheral neuropathy consistent with a toxic neuropathy such as Agent Orange. Small fiber neuropathy is a major cause of pain in the hands and feet, especially in the elderly. At 5–9 months post. . It mainly affects small and large joints []. Arch Neurol (1998) 55:. 9 ?. Conclusions. 06 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 7% (10. 89 is a billable diagnosis code for other specified polyneuropathies, including small fiber neuropathy, a disorder of the peripheral nerves that primarily. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes). 9 - Polyneuropathy, Unspecified: Yes, this is a billable code. G62. 821. 2016 (effective 10/1/2015):. Showing 1-25: ICD-10-CM Diagnosis Code G60. These fibers, categorized as C fibers, are present in skin, peripheral nerves, and organs. Neuropathic pain originating from the back or spine may include: Chronic pain radiating down the leg ( lumbar radiculopathy, or sciatica) Chronic pain radiating down the arm. 89 may differ. Neuropathy is an abnormal and usually degenerative state of the nervous system or nerves. Small fiber peripheral neuropathy is a type of peripheral neuropathy that occurs from damage to the small unmyelinated peripheral nerve fibers. Abstract. SFN can affect either small sensory fibers, autonomic fibers or. Bortezomib: Small fiber sensory neuropathy (i. Sumner et al. Symptoms of peripheral neuropathy. CSPN risk is linked to MetS and several of its components including obesity, dyslipidemia, and prediabetes. PURPOSE We wanted to summarize evidence about the diagnostic accuracy of the 5. Alcohol abuse is known to cause a range of neurological disorders, including cerebellar ataxia, confusion, cognitive impairment, and peripheral neuropathy []. The neuropathy was non-length-dependent in 89%, and classified as SNN in 64%, non-length-dependent small fiber neuropathy in 17% and other mostly nonlength-dependent sensory neuropathy in 19%. 81 became effective on October 1, 2023. A combination of these four tests produces a PPV of 90% and a NPV of 91%. 1 , 2 Some of these symptoms overlap with those of small fiber neuropathy (SFN). Rheumatoid arthritis is a chronic inflammatory autoimmune condition of an uncertain cause in which symmetric polyarthritis is seen []. Conclusion. ICD-10-CM Diagnosis Code G60. Small fiber neuropathy (SFN) appears to be relatively common in sarcoidosis patients. Applicable To. Sensory polyneuropathies, which are caused by dysfunction of peripheral sensory nerve fibers, are a heterogeneous group of disorders that range from the common diabetic neuropathy to the rare sensory neuronopathies. Introduction and background. ICD-10-CM Diagnosis Code E10. Symptoms of small fiber neuropathy can vary. 1 Diverticular disease of small intestine without perforation or abscess Diverticular disease of sm int w/o perforation or abscess; diverticular disease of both small and large intestine without perforation or abscess (K57. G64 Other disorders of peripheral nervous system. It can result in pain, loss of sensation, and digestive and urinary symptoms. This pathology may be the result of metabolic, toxic, immune-mediated, and/or genetic factors. 07/10-g monofilament was evaluated to detect peripheral neuropathy of any cause using nerve conduction as. Sudoscan in the world. Fragestellung: Ziel der Studien war es, Evidenz für die Diagnosekriterien der Small-Fiber-Neuropathie (SFN) zu entwickeln, die sowohl im klinischen als auch wissenschaftlichen Bereich zur Anwendung kommen können. 5fibers/mm IENFD to diagnose clinical DPN in T1DM patients . The 2024 edition of ICD-10-CM G60. In cases where the motor nerves are affected. A herniated disc, for example, could press against a nearby nerve, causing pain. Showing 326-350: ICD-10-PCS Procedure Code 0DY80Z0 [convert to ICD-9-CM]. ICD-10-CM Diagnosis Code H18. IENFD measurements have been shown to detect small fiber neuropathy with depletion of IENFD detected in patients with normal NCS and no clinical signs or symptoms of neuropathy (59, 60). Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC; 505614: Autoimmune Axonal Ab: 505548: Interpretation: 56850-1: 505614: Autoimmune Axonal Ab Fibromyalgia is a disorder characterized by chronic widespread pain and non-pain symptoms, such as fatigue, dysautonomia, and cognitive and sleep disturbances. Sometimes small fiber neuropathy may be associated with either partial or global autonomic failure and this can be detected through autonomic testing. 9 [convert to ICD-9-CM] Malignant neoplasm of peripheral nerves and autonomic nervous system, unspecified. B. 3 became effective on October 1, 2023. 8 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 356. Background and Objectives There are limited population-based data on small fiber neuropathy (SFN). 2 became effective on October 1, 2023. Type 2 diabetes mellitus with diabetic neuropathy, unsp; Diabetes 2,. Peripheral nerve or root compression syndromes, space-occupying lesions of the central nervous system, chronic inflammatory neurological diseases and polyneuropathy can cause neuropathic pruritus. 5, for the evaluation of small fiber neuropathy, is commercially available from Therapath with a biopsy kit (Therapath, 2022) and from BakoDx with a biopsykit that also provides an assessment of SFN’s degree of severity. 5 (1995): 376-382]. Inflammatory polyneuropathy; Polyneuritis. Die Small-Fiber-Neuropathie, kurz SFN, ist eine Neuropathie, die C-Fasern und Aδ-Fasern betrifft. malignant carcinoid tumors of the small intestine (C7A. 1016/j. Small fiber sensory neuropathy (SFSN) is a disorder in which only the small sensory cutaneous nerves are affected. Hypertrophic neuropathy of infancy. 8 is a billable/specific code for a diagnosis of other hereditary and idiopathic neuropathies, including idiopathic small fiber neuropathy. PubMed. 9, G63, G62. Foreign body in small intestine, initial encounter. The causes of small fiber neuropathy are summarized in Table 4. Synonyms: abdominal neuropathy, aplasia of muscle, autosomal dominant optic atrophy. Both fibers have somatic and autonomic components that affect pain and. 9. Oth diabetes mellitus with diabetic neuropathy, unspecified; Neuropathy due to secondary diabetes mellitus; Secondary diabetes with neuropathy. Malignant neoplasm of small intestine. Its pathogenesis and treatment continue to be the subject of debate. The latest theory is that an inflamed piriformis muscle is pressing on my sciatic nerve. G60 Hereditary and idiopathic neuropathy. Abstract. 000 respectively and are expected to rise with increasing awareness of SFN worldwide [ 6 ]. It manifests in various extra-articular ways, including. Description. Other symptoms include sensations, such as: burning, tingling, or prickling ( paresthesia) short bursts of pain. , 2012). The 2024 edition of ICD-10-CM M35. Treatment is usually symptomatic, although some patients may. 8 should only be used for claims with a date of service on or before September 30, 2015. 06 became effective on October 1, 2023. 500 results found. 219 results found. Short description: Sjogren syndrome with peripheral nervous system involvement. Our study shows the interest of skin biopsy, Laser Evoked Potentials, Quantitative Sensory Testing and Electrochemical Skin Conductance measurement for the diagnosis of Small Fiber Neuropathy. ICD-10-CM Diagnosis Code B02. When nerves in the brain or brainstem are affected, it is called cranial neuropathy. Patients with pure small fiber neuropathies will primarily demonstrate loss of pinprick and temperature distally, although vibration perception can also be affected. Treating the. Distal. Paraneoplastic sensory neuropathy occurs almost always in smokers with small cell carcinoma of the lung, though at time of presentation of the neuropathy, no tumor is evident in ∼50%. Since SFSN usually does not involve large sensory fibers that convey. This is the American ICD-10-CM version of E10. 09 for Other idiopathic peripheral autonomic neuropathy is a medical classification as listed by WHO under the range - Diseases of the nervous system . It can affect one nerve or many nerves. Lattice corneal dystrophy. It can also affect both, in which case it is called a sensorimotor neuropathy.