Carpal tunnel syndrome, left upper limb
ICD-10 G56.02 is a billable code used to indicate a diagnosis of carpal tunnel syndrome, left upper limb.
Carpal tunnel syndrome (CTS) is a common condition that arises from the compression of the median nerve as it travels through the carpal tunnel in the wrist. This syndrome is characterized by symptoms such as numbness, tingling, and weakness in the hand, particularly affecting the thumb, index, middle, and part of the ring finger. In the case of G56.02, the condition specifically pertains to the left upper limb. The etiology of CTS can include repetitive wrist movements, certain medical conditions (like diabetes or hypothyroidism), and anatomical variations. Diagnosis typically involves a combination of clinical evaluation and nerve conduction studies (NCS), which assess the electrical conduction of the median nerve. These studies help confirm the diagnosis by demonstrating slowed conduction velocities or prolonged latencies. Treatment options may range from conservative measures, such as splinting and corticosteroid injections, to surgical intervention in more severe cases. Accurate coding for CTS is crucial for proper reimbursement and to reflect the patient's condition accurately in medical records.
Detailed neurological examination findings, results of nerve conduction studies, and treatment plans.
Patients presenting with numbness and tingling in the hand, particularly after repetitive activities.
Ensure that all relevant diagnostic tests are documented to support the diagnosis.
Surgical notes, pre-operative assessments, and post-operative follow-ups.
Patients requiring surgical intervention for severe carpal tunnel syndrome.
Document the rationale for surgical intervention and any conservative treatments attempted.
Used to confirm the diagnosis of carpal tunnel syndrome.
Results of the nerve conduction study must be documented in the patient's medical record.
Neurologists and orthopedic surgeons should ensure that the study is performed and interpreted correctly.
Common symptoms include numbness, tingling, and weakness in the hand, particularly affecting the thumb, index, middle, and part of the ring finger.
Diagnosis is typically made through clinical evaluation and confirmed with nerve conduction studies that assess the function of the median nerve.
Treatment options range from conservative measures like splinting and corticosteroid injections to surgical intervention in more severe cases.
