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ICD-10 Guide
ICD-10 CodesG56.22

G56.22

Billable

Lesion of ulnar nerve, left upper limb

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

Code Description

ICD-10 G56.22 is a billable code used to indicate a diagnosis of lesion of ulnar nerve, left upper limb.

Key Diagnostic Point:

The ulnar nerve is one of the major nerves of the upper limb, primarily responsible for the sensory and motor functions of the hand. A lesion of the ulnar nerve can occur due to various factors, including trauma, compression, or systemic diseases. Clinically, patients may present with symptoms such as numbness, tingling, or weakness in the ring and little fingers, often referred to as 'ulnar nerve palsy.' The condition can arise from entrapment at the elbow (cubital tunnel syndrome) or wrist (Guyon's canal syndrome). Diagnosis typically involves a thorough clinical examination, nerve conduction studies, and electromyography to assess the extent of nerve damage and function. Treatment options may include conservative management, such as splinting and physical therapy, or surgical intervention in severe cases. Accurate coding is essential for proper reimbursement and tracking of healthcare outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between various types of nerve lesions
  • Understanding the anatomical location of the ulnar nerve
  • Identifying associated conditions or complications
  • Interpreting nerve conduction study results

Audit Risk Factors

  • Inadequate documentation of symptoms and clinical findings
  • Failure to specify laterality (left vs. right)
  • Misinterpretation of nerve conduction study results
  • Inconsistent coding of associated conditions

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 documentation includes the duration of symptoms and any prior treatments attempted.

Orthopedics

Documentation Requirements

Surgical notes if applicable, imaging studies, and pre-operative assessments.

Common Clinical Scenarios

Patients requiring surgical intervention for ulnar nerve decompression.

Billing Considerations

Document the surgical approach and any intraoperative findings that may affect coding.

Coding Guidelines

Inclusion Criteria

Use G56.22 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the lesion's location and any associated conditions
  • Include details from nerve conduction studies to support the diagnosis

Exclusion Criteria

Do NOT use G56.22 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

64718CPT Code

Ulnar nerve transposition

Clinical Scenario

Used when surgical intervention is required for ulnar nerve entrapment.

Documentation Requirements

Surgical notes detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons should document the surgical approach and any complications.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of nerve lesions, improving the accuracy of diagnoses and treatment tracking. G56.22 provides a clear distinction for left-sided ulnar nerve lesions, enhancing data collection and analysis.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of nerve lesions, improving the accuracy of diagnoses and treatment tracking. G56.22 provides a clear distinction for left-sided ulnar nerve lesions, enhancing data collection and analysis.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of nerve lesions, improving the accuracy of diagnoses and treatment tracking. G56.22 provides a clear distinction for left-sided ulnar nerve lesions, enhancing data collection and analysis.

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 symptoms of an ulnar nerve lesion?

Common symptoms include numbness and tingling in the ring and little fingers, weakness in hand grip, and pain in the elbow or wrist area.