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ICD-10 Guide
ICD-10 CodesG56.20

G56.20

Billable

Lesion of ulnar nerve, unspecified upper limb

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 G56.20 is a billable code used to indicate a diagnosis of lesion of ulnar nerve, unspecified upper limb.

Key Diagnostic Point:

The ulnar nerve is one of the major nerves of the upper limb, primarily responsible for the sensation and motor function of the forearm and hand. A lesion of the ulnar nerve can occur due to various factors, including trauma, compression, or systemic diseases. Symptoms may include numbness, tingling, or weakness in the hand, particularly affecting the ring and little fingers. The condition can arise from repetitive stress, direct injury, or conditions such as cubital tunnel syndrome, where the nerve is compressed at the elbow. Diagnosis typically involves a thorough clinical examination, patient history, and may include nerve conduction studies to assess the function of the ulnar nerve. Treatment options vary based on the severity and cause of the lesion, ranging from conservative management, such as splinting and physical therapy, to surgical intervention in more severe cases. Accurate coding is essential for proper reimbursement and to reflect the patient's condition in medical records.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and symptoms
  • Need for precise documentation of nerve function
  • Differentiation from other neuropathies and nerve lesions
  • Potential for multiple underlying causes

Audit Risk Factors

  • Inadequate documentation of symptoms and clinical findings
  • Failure to specify laterality when applicable
  • Misinterpretation of nerve conduction study results
  • Inconsistent coding with treatment provided

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, including sensory and motor assessments.

Common Clinical Scenarios

Patients presenting with numbness or weakness in the hand, particularly after trauma or repetitive use.

Billing Considerations

Ensure that nerve conduction studies are documented and interpreted correctly to support the diagnosis.

Orthopedics

Documentation Requirements

Surgical notes if intervention is performed, including pre-operative assessments.

Common Clinical Scenarios

Patients with ulnar nerve entrapment requiring surgical release.

Billing Considerations

Document any anatomical variations or previous surgeries that may affect the ulnar nerve.

Coding Guidelines

Inclusion Criteria

Use G56.20 When
  • According to ICD
  • 10 guidelines, G56
  • 20 should be used when the lesion of the ulnar nerve is documented without specification of laterality
  • Coders must ensure that the diagnosis is supported by clinical findings and any relevant diagnostic tests

Exclusion Criteria

Do NOT use G56.20 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

95900CPT Code

Nerve conduction study, motor and sensory

Clinical Scenario

Used to evaluate the function of the ulnar nerve in patients with suspected lesions.

Documentation Requirements

Document the results of the nerve conduction study and the rationale for testing.

Specialty Considerations

Neurologists should ensure that the study is performed according to established protocols.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specificity in coding nerve lesions, improving the accuracy of patient records and reimbursement processes. G56.20 provides a clear framework for documenting unspecified ulnar nerve lesions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specificity in coding nerve lesions, improving the accuracy of patient records and reimbursement processes. G56.20 provides a clear framework for documenting unspecified ulnar nerve lesions.

Reimbursement & Billing Impact

reimbursement processes. G56.20 provides a clear framework for documenting unspecified ulnar nerve lesions.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common causes of ulnar nerve lesions?

Common causes include trauma, repetitive stress injuries, and conditions like diabetes that can lead to neuropathy.

How can I differentiate between ulnar nerve lesions and other neuropathies?

Ulnar nerve lesions typically present with symptoms affecting the ring and little fingers, while other neuropathies may have different patterns of sensory and motor involvement.