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Diplegia of upper limbs

ICD10CM code

Medical Policies and Guidelines for Diplegia of upper limbs

Related policies from health plans

Electrodiagnostic Testing (EMG/NCV) - (CPG129)
DME.00022 Functional Electrical Stimulation (FES); Threshold Electrical Stimulation (TES)

Similar Codes


ICD10CM codes

G83.0 - Diplegia of upper limbs
G83.2 - Monoplegia of upper limb
G83.1 - Monoplegia of lower limb
G83.20 - Monoplegia of upper limb affecting unspecified side
G83.23 - Monoplegia of upper limb affecting right nondominant side
G83.21 - Monoplegia of upper limb affecting right dominant side
G83.24 - Monoplegia of upper limb affecting left nondominant side
G83.22 - Monoplegia of upper limb affecting left dominant side
G56.83 - Other specified mononeuropathies of bilateral upper limbs
G56.43 - Causalgia of bilateral upper limbs

HCPCS codes

L6687 - Upper extremity addition, frame type socket, below elbow or wrist disarticulation
L6688 - Upper extremity addition, frame type socket, above elbow or elbow disarticulation
L6680 - Upper extremity addition, test socket, wrist disarticulation or below elbow
L6635 - Upper extremity addition, lift assist for elbow
L6682 - Upper extremity addition, test socket, elbow disarticulation or above elbow
L3999 - Upper limb orthosis, not otherwise specified
L7499 - Upper extremity prosthesis, not otherwise specified
L6620 - Upper extremity addition, flexion/extension wrist unit, with or without friction
C8934 - Magnetic resonance angiography with contrast, upper extremity
L6881 - Automatic grasp feature, addition to upper limb electric prosthetic terminal device

CPT4 codes

95928 - Central motor evoked potential study (transcranial motor stimulation); upper limbs
29584 - Application of multi-layer compression system; upper arm, forearm, hand, and fingers
25900 - Amputation, forearm, through radius and ulna
29583 - Application of multi-layer compression system; upper arm and forearm
73201 - Computed tomography, upper extremity; with contrast material(s)
93931 - Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study
29105 - Application of long arm splint (shoulder to hand)
64702 - Neuroplasty; digital, 1 or both, same digit
93930 - Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study
25301 - Tenodesis at wrist; extensors of fingers