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ICD-10 Guide
ICD-10 CodesG56.30

G56.30

Billable

Lesion of radial nerve, unspecified upper limb

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

Code Description

ICD-10 G56.30 is a billable code used to indicate a diagnosis of lesion of radial nerve, unspecified upper limb.

Key Diagnostic Point:

The lesion of the radial nerve, unspecified upper limb, refers to damage or injury to the radial nerve, which is responsible for the extension of the wrist and fingers, as well as sensation in parts of the arm and hand. This condition can arise from various causes, including trauma, compression, or systemic diseases. Symptoms may include weakness in wrist and finger extension, loss of sensation in the posterior aspect of the arm and hand, and pain or discomfort in the affected area. The radial nerve can be affected by conditions such as radial nerve palsy, which may occur due to prolonged pressure on the nerve, fractures of the humerus, or systemic conditions like diabetes that can lead to neuropathy. Diagnosis typically involves a thorough clinical examination, patient history, and may include nerve conduction studies to assess the function of the radial nerve. Treatment options vary based on the underlying cause and may include physical therapy, splinting, or surgical intervention in severe cases. Accurate coding is essential for proper reimbursement and to reflect the patient's condition accurately in medical records.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and symptoms of radial nerve lesions
  • Need for comprehensive documentation to support the diagnosis
  • Potential overlap with other neuropathies and nerve injuries
  • Variations in treatment approaches based on underlying causes

Audit Risk Factors

  • Inadequate documentation of the specific nature of the lesion
  • Failure to include nerve conduction study results
  • Misclassification of the lesion as another type of neuropathy
  • Lack of clarity on the cause of the nerve lesion

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, results of nerve conduction studies, and patient history.

Common Clinical Scenarios

Patients presenting with wrist drop, sensory loss in the hand, or following trauma.

Billing Considerations

Ensure that the documentation clearly states the cause of the nerve lesion and any associated conditions.

Orthopedics

Documentation Requirements

Surgical notes, imaging results, and details of any fractures or injuries that may have caused the nerve lesion.

Common Clinical Scenarios

Patients with humeral fractures or post-surgical complications affecting the radial nerve.

Billing Considerations

Document the relationship between orthopedic injuries and nerve lesions to support coding.

Coding Guidelines

Inclusion Criteria

Use G56.30 When
  • According to ICD
  • 10 coding guidelines, G56
  • 30 should be used when the specific details of the radial nerve lesion are not documented
  • Coders must ensure that the documentation supports the use of this unspecified code and that all relevant clinical information is included

Exclusion Criteria

Do NOT use G56.30 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

95900CPT Code

Nerve conduction study, each nerve

Clinical Scenario

Used to confirm the diagnosis of radial nerve lesions.

Documentation Requirements

Results of the nerve conduction study must be documented.

Specialty Considerations

Neurologists should ensure that the study is relevant to the patient's symptoms.

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 patient records and reimbursement processes. G56.30 provides a means to code for unspecified lesions, but coders must strive for specificity when possible.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of nerve lesions, improving the accuracy of patient records and reimbursement processes. G56.30 provides a means to code for unspecified lesions, but coders must strive for specificity when possible.

Reimbursement & Billing Impact

reimbursement processes. G56.30 provides a means to code for unspecified lesions, but coders must strive for specificity when possible.

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

When should I use G56.30 instead of a more specific code?

G56.30 should be used when the documentation does not specify the dominant or non-dominant limb affected by the radial nerve lesion. Always strive for the most specific code available.