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Complex regional pain syndrome I of right upper limb

ICD10CM code

Medical Policies and Guidelines for Complex regional pain syndrome I of right upper limb

Related policies from health plans

Autonomic Nerve Function Testing - (0506)
Autonomic Nerve Function Testing - (0506)
Autonomic Nerve Function Testing - (0506)
Electrodiagnostic Testing (EMG/NCV) - (CPG129)
Noncovered Investigational Services
Noncovered Investigational Services
Noncovered Investigational Services
Noncovered Investigational Services(Eff. beginning 1.1.24)
Noncovered Investigational Services(Eff. beginning 1.1.24)
Noncovered Investigational Services(Eff. beginning 1.1.24)
Noncovered Investigational Services(Eff. beginning 1.1.24)
Implantable Intrathecal or Epidural Pain Pump (PDF)

Similar Codes


ICD10CM codes

G90.511 - Complex regional pain syndrome I of right upper limb
G90.512 - Complex regional pain syndrome I of left upper limb
G90.51 - Complex regional pain syndrome I of upper limb
G90.519 - Complex regional pain syndrome I of unspecified upper limb
G90.513 - Complex regional pain syndrome I of upper limb, bilateral
G90.521 - Complex regional pain syndrome I of right lower limb
G56.41 - Causalgia of right upper limb
G90.522 - Complex regional pain syndrome I of left lower limb
G56.01 - Carpal tunnel syndrome, right upper limb
G90.52 - Complex regional pain syndrome I of lower limb

HCPCS codes

C8934 - Magnetic resonance angiography with contrast, upper extremity
L3999 - Upper limb orthosis, not otherwise specified
L6680 - Upper extremity addition, test socket, wrist disarticulation or below elbow
L6687 - Upper extremity addition, frame type socket, below elbow or wrist disarticulation
L6620 - Upper extremity addition, flexion/extension wrist unit, with or without friction
C8936 - Magnetic resonance angiography without contrast followed by with contrast, upper extremity
L7499 - Upper extremity prosthesis, not otherwise specified
L6635 - Upper extremity addition, lift assist for elbow
L6682 - Upper extremity addition, test socket, elbow disarticulation or above elbow
L6688 - Upper extremity addition, frame type socket, above elbow or elbow disarticulation

CPT4 codes

25900 - Amputation, forearm, through radius and ulna
29584 - Application of multi-layer compression system; upper arm, forearm, hand, and fingers
95928 - Central motor evoked potential study (transcranial motor stimulation); upper limbs
29583 - Application of multi-layer compression system; upper arm and forearm
73201 - Computed tomography, upper extremity; with contrast material(s)
35206 - Repair blood vessel, direct; upper extremity
35190 - Repair, acquired or traumatic arteriovenous fistula; extremities
29105 - Application of long arm splint (shoulder to hand)
25110 - Excision, lesion of tendon sheath, forearm and/or wrist
64719 - Neuroplasty and/or transposition; ulnar nerve at wrist