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v1.0.0
ICD-10 Guide
ICD-10 CodesChapter 6: Diseases of the nervous systemG57

G57

Billable

Mononeuropathies of lower limb

Chapter 6:Diseases of the nervous system

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

Code Description

ICD-10 G57 is a billable code used to indicate a diagnosis of mononeuropathies of lower limb.

Key Diagnostic Point:

Mononeuropathies of the lower limb refer to a group of conditions characterized by the dysfunction of a single peripheral nerve in the lower extremities. These conditions can arise from various etiologies, including trauma, compression, systemic diseases, or inflammatory processes. Common examples include peroneal nerve palsy, tibial nerve entrapment, and femoral nerve injury. Symptoms typically manifest as pain, weakness, numbness, or tingling in the affected area, which can significantly impact mobility and quality of life. Diagnosis often involves a thorough clinical examination, patient history, and may include nerve conduction studies (NCS) to assess the electrical activity of the nerve and identify the site and extent of the injury. Treatment options vary based on the underlying cause and may include physical therapy, surgical intervention, or pharmacological management. 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 (trauma, systemic disease, etc.)
  • Need for detailed documentation of symptoms and nerve involvement
  • Potential for multiple affected nerves requiring careful coding
  • Variability in clinical presentation and diagnostic criteria

Audit Risk Factors

  • Inadequate documentation of nerve involvement
  • Failure to specify the type of mononeuropathy
  • Misidentification of the affected nerve
  • Lack of supporting diagnostic tests (e.g., NCS)

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, including sensory and motor deficits.

Common Clinical Scenarios

Patients presenting with unilateral leg weakness or sensory loss.

Billing Considerations

Ensure documentation includes specific nerve involvement and results from nerve conduction studies.

Orthopedics

Documentation Requirements

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

Common Clinical Scenarios

Post-traumatic nerve injuries following fractures or dislocations.

Billing Considerations

Document the mechanism of injury and any surgical interventions performed.

Coding Guidelines

Inclusion Criteria

Use G57 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the specific nerve affected and the underlying cause
  • Include any relevant diagnostic tests, such as nerve conduction studies, to support the diagnosis

Exclusion Criteria

Do NOT use G57 When
No specific exclusions found.

Related CPT Codes

95903CPT Code

Nerve conduction study, each nerve

Clinical Scenario

Used to confirm diagnosis of mononeuropathy.

Documentation Requirements

Document the specific nerves tested and results.

Specialty Considerations

Neurologists should ensure comprehensive reports are available.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of mononeuropathies, improving the ability to capture the complexity of these conditions and their management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of mononeuropathies, improving the ability to capture the complexity of these conditions and their management.

Reimbursement & Billing Impact

reimbursement and compliance.

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 is the difference between mononeuropathy and polyneuropathy?

Mononeuropathy affects a single nerve, while polyneuropathy involves multiple nerves, often due to systemic conditions.