G57.23 Lesion of femoral nerve, bilateral lower limbs

ICD10CM code

#### Name of the Condition
- Bilateral Femoral Nerve Lesion
- Medical term: Lesion of femoral nerve, bilateral lower limbs (**ICD Code: G57.23**)

#### Summary
Bilateral Femoral Nerve Lesion involves damage to the femoral nerve in both lower limbs. This condition can affect sensation and muscle control in the front of the thighs and calves.

#### Causes
- Trauma or injury to the pelvic region
- Diabetes-related complications
- Compression from tumors or swelling
- Nerve diseases or infections

#### Risk Factors
- Advanced age
- Diabetes or metabolic disorders
- Obesity
- History of pelvic surgeries or injuries

#### Symptoms
- Numbness or tingling in the thighs and legs
- Weakness in the quadriceps muscles
- Difficulty walking or climbing stairs
- Knee instability

#### Diagnosis
- Neurological examination
- Electromyography (EMG) and nerve conduction studies
- MRI or CT scan for structural assessment
- Blood tests to rule out metabolic causes

#### Treatment Options
- Physical therapy to strengthen muscles and improve mobility
- Medications such as pain relievers or anti-inflammatories
- Surgical intervention in cases of severe nerve compression
- Management of underlying conditions like diabetes

#### Prognosis and Follow-Up
- Varies based on cause and severity; early treatment improves outcomes
- Regular follow-ups for monitoring progress and adjusting treatments
- Multidisciplinary approach may be beneficial

#### Complications
- Chronic pain or discomfort
- Loss of muscle mass due to disuse
- Potential for falls or injuries due to instability

#### Lifestyle & Prevention
- Maintaining a healthy weight
- Regular exercise to improve muscle strength and flexibility
- Managing chronic conditions effectively, such as diabetes

#### When to Seek Professional Help
- Sudden onset of severe symptoms
- Inability to walk or bear weight on legs
- Increasing pain or numbness that doesn't improve with rest

#### Additional Resources
- National Institute of Neurological Disorders and Stroke (NINDS)
- American Association of Neuromuscular & Electrodiagnostic Medicine (AANEM)

#### Tips for Medical Coders
- Ensure accurate identification of laterality (bilateral)
- Verify underlying conditions contributing to the nerve lesion
- Avoid miscoding by cross-referencing clinical documentation with other possible causes of symptoms

Medical Policies and Guidelines for Lesion of femoral nerve, bilateral lower limbs

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