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ICD-10 Guide
ICD-10 CodesG56.93

G56.93

Billable

Unspecified mononeuropathy of bilateral upper limbs

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

Code Description

ICD-10 G56.93 is a billable code used to indicate a diagnosis of unspecified mononeuropathy of bilateral upper limbs.

Key Diagnostic Point:

Unspecified mononeuropathy of bilateral upper limbs refers to a condition characterized by the dysfunction of a single peripheral nerve in both upper limbs, leading to symptoms such as pain, weakness, numbness, or tingling. This condition can arise from various etiologies, including trauma, compression, or systemic diseases. Common causes include repetitive strain injuries, entrapment syndromes like carpal tunnel syndrome, or diabetic neuropathy. The bilateral nature of the condition suggests a systemic or symmetrical process rather than isolated nerve damage. Diagnosis typically involves a thorough clinical evaluation, including patient history and physical examination, followed by nerve conduction studies (NCS) to assess the electrical activity 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 management, and addressing underlying conditions contributing to nerve dysfunction. Accurate coding is essential for appropriate reimbursement and to reflect the complexity of the patient's condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Bilateral presentation complicates diagnosis and treatment.
  • Differentiation from other neuropathies requires detailed clinical evaluation.
  • Potential overlap with other codes for specific mononeuropathies.
  • Need for comprehensive documentation to support the diagnosis.

Audit Risk Factors

  • Insufficient documentation of symptoms and clinical findings.
  • Failure to perform or document nerve conduction studies.
  • Inadequate differentiation from other neuropathies.
  • Lack of follow-up documentation to support ongoing treatment.

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, results of nerve conduction studies, and any imaging studies performed.

Common Clinical Scenarios

Patients presenting with bilateral upper limb weakness, numbness, or pain, often following repetitive activities or trauma.

Billing Considerations

Neurologists must ensure comprehensive documentation to justify the diagnosis and treatment plan.

Physical Medicine and Rehabilitation

Documentation Requirements

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

Common Clinical Scenarios

Patients undergoing rehabilitation for bilateral upper limb weakness post-injury or surgery.

Billing Considerations

Documentation should reflect the impact of the condition on daily activities and the effectiveness of therapeutic interventions.

Coding Guidelines

Inclusion Criteria

Use G56.93 When
  • According to ICD
  • 10 guidelines, G56
  • 93 should be used when the specific mononeuropathy affecting the bilateral upper limbs is not specified
  • Coders must ensure that the documentation supports the bilateral nature of the condition and that other specific codes are not applicable

Exclusion Criteria

Do NOT use G56.93 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 mononeuropathy.

Documentation Requirements

Results of the nerve conduction study must be documented, including the nerves tested and findings.

Specialty Considerations

Neurologists and physiatrists should ensure that the study correlates with clinical findings.

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 the ability to specify bilateral conditions, which enhances the accuracy of patient records and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of neuropathies, including the ability to specify bilateral conditions, which enhances the accuracy of patient records and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 symptoms are associated with G56.93?

Symptoms may include pain, weakness, numbness, or tingling in both upper limbs, often exacerbated by activities that involve repetitive motion.

How is G56.93 diagnosed?

Diagnosis typically involves a clinical evaluation, patient history, and nerve conduction studies to assess nerve function.

What treatments are available for G56.93?

Treatment options may include physical therapy, medications for pain relief, and addressing any underlying conditions contributing to the neuropathy.