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ICD-10 Guide
ICD-10 CodesG56.83

G56.83

Billable

Other specified mononeuropathies of bilateral upper limbs

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

Code Description

ICD-10 G56.83 is a billable code used to indicate a diagnosis of other specified mononeuropathies of bilateral upper limbs.

Key Diagnostic Point:

G56.83 refers to other specified mononeuropathies affecting the bilateral upper limbs, which can arise from various underlying conditions such as diabetes, trauma, or repetitive strain injuries. These neuropathies may involve the peripheral nerves, leading to symptoms such as pain, numbness, tingling, and weakness in the arms and hands. Common causes include nerve entrapments like carpal tunnel syndrome, ulnar nerve entrapment, or thoracic outlet syndrome. Diagnosis often involves a thorough clinical evaluation, including a detailed patient history and physical examination, followed by nerve conduction studies (NCS) to assess the function of the affected nerves. These studies help differentiate between various types of neuropathies and guide treatment options. Treatment may include physical therapy, medications for pain relief, or surgical interventions depending on the severity and underlying cause of the neuropathy. Accurate coding is essential for proper reimbursement and to reflect the complexity of the patient's condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes leading to similar symptoms
  • Need for detailed documentation of symptoms and history
  • Potential overlap with other neuropathy codes
  • Variability in treatment approaches based on etiology

Audit Risk Factors

  • Insufficient documentation of symptoms and clinical findings
  • Failure to perform or document nerve conduction studies
  • Inconsistent coding of bilateral conditions
  • Lack of clarity on the underlying cause of neuropathy

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 bilateral arm weakness, numbness, or pain, often after repetitive activities or trauma.

Billing Considerations

Ensure all relevant diagnostic tests are documented to support the diagnosis and coding.

Physical Medicine and Rehabilitation

Documentation Requirements

Functional assessments, treatment plans, and progress notes detailing rehabilitation efforts.

Common Clinical Scenarios

Patients undergoing rehabilitation for recovery from nerve injuries or surgeries affecting the upper limbs.

Billing Considerations

Documenting the impact of neuropathy on daily activities and the effectiveness of rehabilitation interventions.

Coding Guidelines

Inclusion Criteria

Use G56.83 When
  • According to ICD
  • 10 guidelines, G56
  • 83 should be used when the specific type of mononeuropathy affecting the bilateral upper limbs is not classified elsewhere
  • Coders must ensure that the documentation supports the diagnosis and that other potential causes of neuropathy are ruled out

Exclusion Criteria

Do NOT use G56.83 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

95903CPT Code

Nerve conduction study, each nerve

Clinical Scenario

Used to evaluate the function of nerves in patients with suspected neuropathies.

Documentation Requirements

Document the specific nerves tested and the results of the study.

Specialty Considerations

Neurologists should ensure that the rationale for the study is clearly documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of neuropathies, including G56.83, which captures the complexity of bilateral upper limb conditions more accurately than previous ICD-9 codes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of neuropathies, including G56.83, which captures the complexity of bilateral upper limb conditions more accurately than previous ICD-9 codes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of neuropathies, including G56.83, which captures the complexity of bilateral upper limb conditions more accurately than previous ICD-9 codes.

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 G56.83?

Common causes include repetitive strain injuries, diabetes, trauma, and nerve entrapments such as carpal tunnel syndrome.

How do I document for G56.83?

Documentation should include a detailed patient history, clinical findings, results from nerve conduction studies, and any treatments provided.