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G57.33
Lesion of lateral popliteal nerve, bilateral lower limbs
ICD10CM code
Medical Policies and Guidelines for Lesion of lateral popliteal nerve, bilateral lower limbs
Related policies from health plans
CIGNA
Electrodiagnostic Testing (EMG/NCV) - (CPG129)
CIGNA
Peripheral Nerve Destruction for Pain Conditions - (0525)
Similar Codes
ICD10CM codes
G57.33
- Lesion of lateral popliteal nerve, bilateral lower limbs
G57.43
- Lesion of medial popliteal nerve, bilateral lower limbs
G57.32
- Lesion of lateral popliteal nerve, left lower limb
G57.30
- Lesion of lateral popliteal nerve, unspecified lower limb
G57.31
- Lesion of lateral popliteal nerve, right lower limb
G57.42
- Lesion of medial popliteal nerve, left lower limb
G57.40
- Lesion of medial popliteal nerve, unspecified lower limb
G57.3
- Lesion of lateral popliteal nerve
G57.41
- Lesion of medial popliteal nerve, right lower limb
G57.4
- Lesion of medial popliteal nerve
HCPCS codes
L5620
- Addition to lower extremity, test socket, below knee
L5680
- Addition to lower extremity, below knee, thigh lacer, nonmolded
L5624
- Addition to lower extremity, test socket, above knee
G8404
- Lower extremity neurological exam performed and documented
L5637
- Addition to lower extremity, below knee, total contact
L5665
- Addition to lower extremity, socket insert, multi-durometer, below knee
C8912
- Magnetic resonance angiography with contrast, lower extremity
L5677
- Additions to lower extremity, below knee, knee joints, polycentric, pair
C8913
- Magnetic resonance angiography without contrast, lower extremity
L5668
- Addition to lower extremity, below knee, molded distal cushion
CPT4 codes
35587
- In-situ vein bypass; popliteal-tibial, peroneal
01500
- Anesthesia for procedures on arteries of lower leg, including bypass graft; not otherwise specified
34203
- Embolectomy or thrombectomy, with or without catheter; popliteal-tibio-peroneal artery, by leg incis
01502
- Anesthesia for procedures on arteries of lower leg, including bypass graft; embolectomy, direct or w
93926
- Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study
01320
- Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of knee and/or poplite
93925
- Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study
27602
- Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s)
35571
- Bypass graft, with vein; popliteal-tibial, -peroneal artery or other distal vessels
73701
- Computed tomography, lower extremity; with contrast material(s)