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G57.40
Lesion of medial popliteal nerve, unspecified lower limb
ICD10CM code
Medical Policies and Guidelines for Lesion of medial popliteal nerve, unspecified lower limb
Related policies from health plans
CIGNA
Electrodiagnostic Testing (EMG/NCV) - (CPG129)
CIGNA
Peripheral Nerve Destruction for Pain Conditions - (0525)
Similar Codes
ICD10CM codes
G57.40
- Lesion of medial popliteal nerve, unspecified lower limb
G57.30
- Lesion of lateral popliteal nerve, unspecified lower limb
G57.43
- Lesion of medial popliteal nerve, bilateral lower limbs
G57.42
- Lesion of medial popliteal nerve, left lower limb
G57.41
- Lesion of medial popliteal nerve, right lower limb
G57.4
- Lesion of medial popliteal nerve
G57.33
- Lesion of lateral popliteal nerve, bilateral lower limbs
G57.32
- Lesion of lateral popliteal nerve, left lower limb
G57.31
- Lesion of lateral popliteal nerve, right lower limb
G57.3
- Lesion of lateral popliteal nerve
HCPCS codes
L5680
- Addition to lower extremity, below knee, thigh lacer, nonmolded
L5620
- Addition to lower extremity, test socket, below knee
C8913
- Magnetic resonance angiography without contrast, lower extremity
C8912
- Magnetic resonance angiography with contrast, lower extremity
L5665
- Addition to lower extremity, socket insert, multi-durometer, below knee
L5637
- Addition to lower extremity, below knee, total contact
L5624
- Addition to lower extremity, test socket, above knee
L5668
- Addition to lower extremity, below knee, molded distal cushion
C8914
- Magnetic resonance angiography without contrast followed by with contrast, lower extremity
L5670
- Addition to lower extremity, below knee, molded supracondylar suspension ('pts' or similar)
CPT4 codes
01500
- Anesthesia for procedures on arteries of lower leg, including bypass graft; not otherwise specified
01520
- Anesthesia for procedures on veins of lower leg; not otherwise specified
01440
- Anesthesia for procedures on arteries of knee and popliteal area; not otherwise specified
35587
- In-situ vein bypass; popliteal-tibial, peroneal
01470
- Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; not
01430
- Anesthesia for procedures on veins of knee and popliteal area; not otherwise specified
34203
- Embolectomy or thrombectomy, with or without catheter; popliteal-tibio-peroneal artery, by leg incis
01320
- Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of knee and/or poplite
01270
- Anesthesia for procedures involving arteries of upper leg, including bypass graft; not otherwise spe
01502
- Anesthesia for procedures on arteries of lower leg, including bypass graft; embolectomy, direct or w
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