10 Critical Neurological Symptoms Of Lyme Disease You Need To Know

The bite of an infected tick causes an infection known as Lyme disease. The illness is caused by bacterium borrelia burgdorferi. Ticks are usually prominent in grassy and wooded locations so people living in these kinds of areas should be wary and take every means of precaution when going outdoors. Take note of the possible Lyme disease symptoms which include a rash in the area of the bite which can expand over time and many flu-like symptoms like fever, body pains, fatigue and chills. Apart from the symptoms that appear in the earlier stage of Lyme disease, neurological symptoms can also begin to manifest weeks or even years after being infected.

Numbness

People who have nerve damage or nerve disease often experience a sensation of numbness. Many people describe the feeling as something like pins and needles on their skin, and people suffering from Lyme disease will often feel a prickling or burning pain in the affected area. Unlike paralysis where patients are unable to move, numbness causes patients to experience a loss of sensation.

Uncommon sensations in the limbs

The muscles of patients’ limbs will often undergo a weakening sensation. Tingling sensations in the extremities, bruising, burning and swelling may be experienced.

Bell’s palsy

If you are experiencing Bell’s palsy, you are probably have Lyme disease. Bell’s palsy is a disorder of the muscles of the face where the muscles become paralyzed due to complications of the nerves of the face muscles. There is often a partial or whole paralysis of the face of the patients.

Meningitis

Approximately 15 percent of those affected by Lyme diseases have been infected in the membranes, around their spinal cord and the brain. This is called meningitis. The patients who are suffering from meningitis, the main symptoms of this are stiff neck and headache. Over-the-counter medicine may cannot cure this. They also become sensitive to light.

Problems with vision

Patients may also feel changes in their vision. They may feel distortion, blurry vision, night blindness and sometimes they even experience loss of sight.

Difficulty in concentrating

A patient’s focus is affected by the physical conditions of Lyme disease. These patients may find it difficult to concentrate on a single task at a time.

Loss of memory

People suffering from Lyme disease may also experience memory loss. They can have difficulty recalling details and may feel disoriented when trying to remember something.

Encephalopathy

When Lyme disease is left untreated in its early stages, Lyme encephalopathy may occur. Some symptoms of encephalopathy are dramatic mood swings, depression and a tingling sensation in the limbs.

Sleep disturbances

Lyme disease has a variety of symptoms, including influencing once stable sleep patterns. They can have sleep disturbances such as insomnia and sleep apnea.

Cognitive impairment

Cognitive impairment may be caused by Lyme disease. Some patients may have some trouble thinking clearly and making any rational decisions. Also associated with cognitive impairment is poor concentration and memory loss.

In order to be sure Lyme disease is properly treated from the outset, it is important to understand exactly what the symptoms are. It is said that prevention is better than cure so it is always good to take proper precautions to avoid the illness.

To get additional information on Lyme disease symptoms, you can go to http://www.lymediseaseblog.com/lyme-disease-symptoms/.

10 Critical Neurological Symptoms Of Lyme Disease You Need To Know

Some neurological symptoms of Lyme disease that you should look out for are numbness, abnormal feelings in the limbs, Bell’s palsy, meningitis, vision problems, difficulty in concentrating, memory loss, encephalopathy, sleep disturbances, and cognitive impairment.

Lyme disease is an infection caused due to the bite of an infected tick. The illness is caused by the bacterium known as Borrelia burgdorferi. People living in these kinds of areas should be wary and take every means of precaution when going outdoors since ticks are usually prominent in grassy and wooded locations. Lyme disease symptoms can include a rash in the area of the bite that can expand over time and several flu-like symptoms such as fever, body pains, fatigue and chills. Apart from the Lyme disease symptoms that appear in the earlier stage, sometimes neurological symptoms start to manifest weeks or even years after being infected.

Numbness

Numbness is the typical symptom of nerves suffering from a disease or damage. People suffering from Lyme disease often experience a form of Neuralgia that they say feels like pins and needles pricking the their skin. Unlike paralysis where patients are unable to move, numbness causes patients to experience a loss of sensation.

Abnormal feelings in the limbs

Patients often say that their arms and legs will feel weak. They may also experience swelling, burning, bruising, and a tingling sensation in their arms and legs.

Bell’s palsy

Bell’s palsy is another symptom of having a Lyme diseases. Bell’s palsy is characterized by a sudden paralysis of the facial muscles caused by complications in the patient’s facial nerves. Patients can and usually do feel paralyzed in at least half of their face or more.

Meningitis

As much as 15% of Lyme disease patients are infected in the membranes that are located around the spinal cord and brain. In meningitis patients experience stiff necks and headaches that are not cured by typical over-the-counter medicines. In addition, they experience a heightened sensitivity to light.

Difficulty in eyesight or vision

Patients may feel changes in their vision. They may feel distortion, blurry vision, night blindness and sometimes they even experience loss of sight.

Problems in terms of concentration

Lyme disease is a physical condition that is known to affect a patient’s concentration. Lack of focus and attention on one task is a feature of such patients.

Cognitive disorder

Memory problems are another symptom of Lyme disease. When trying to remember something they may have difficulty in recalling the details and may feel little disoriented.

Encephalopathy

When Lyme disease is left untreated in its early stages, then it may cause Lyme encephalopathy. You should be aware of the common symptoms of this diseases which include dramatic mood swings, irritability, depression and a tingling sensation in the patient’s limbs.

Disturbed sleep

The sleeping habits are changed in the people who are infected with Lyme disease. These people may suffer from apnea, insomnia and other sleep disorders and disturbances.

Cognitive impairment

Lyme disease can also cause cognitive impairment. Patients may have difficulty thinking and making rational decisions. Cognitive impairment is associated with poor concentration and memory loss.

In order to be sure Lyme disease is properly treated from the outset, it is important to understand exactly what the symptoms are. All the same, prevention is still better than treatment, so follow every means of precaution to avoid getting infected with the illness.

To get additional information on symptoms of Lyme disease, you can go to http://www.lymediseaseblog.com/lyme-disease-symptoms/.

Neurology Coding: Know which nerve conduction study code is proper for you

Selecting the right code to describe your nerve conduction test can prove to be a challenging proposition – until you learn three important areas to study. Here are some steps to make the right choice every time:

Differentiate between code choices

Doctors use nerve conduction studies (NCS) to evaluate the function and electrical conduction of motor and sensory nerves in the body. When you face NCS coding, CPT provides you three options:

95900 — Nerve conduction, amplitude and latency/velocity study, each nerve; motor, without F-wave study

95903 — motor, with F-wave study

95904 — sensory.

First step

Review carefully the physician’s documentation for the individual nerves stimulated. Remember you can report only one unit of service of the corresponding NCS code when the neurologist carries out a diagnostic study on the same nerve at multiple sites.

According to CPT descriptors, report codes 95900, 95903, and 95904 by “each nerve. See to it that you follow this guide and are not reporting multiple units of services for NCS testing at multiple sites on the same nerve as ‘separate nerves’.

Report 95900, 95903, and/or 95904 only once when the provider stimulates or records multiple sites on the same nerve. Code 95903 includes both the F-wave study and the underlying motor nerve conduction study. As per National Correct Coding Initiative edits, you cannot bill both 95900 and 95903 for motor NCS testing on the same nerve. CCI considers the Column 2 code, 95900 as a component of the more comprehensive Column 1 code 95903.

Know when to append modifiers

Modifiers can come in handy when coding nerve conduction studies, especially when the doctor tests different nerves or nerve branches or carries out different diagnostic NCS.

Establish medical necessity

The patient’s signs and/or symptoms or a confirmed diagnosis support medical necessity when ordering a diagnostic procedure. The physician must document the information in the order and note for the procedure. Information supporting medical necessity should also be in the professional interpretation report for the diagnostic study.

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