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ICD-10 Guide
ICD-10 CodesG57.30

G57.30

Billable

Lesion of lateral popliteal nerve, unspecified lower limb

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

Code Description

ICD-10 G57.30 is a billable code used to indicate a diagnosis of lesion of lateral popliteal nerve, unspecified lower limb.

Key Diagnostic Point:

The lateral popliteal nerve, also known as the common peroneal nerve, is a branch of the sciatic nerve that innervates the muscles of the lower leg and foot. A lesion of this nerve can lead to a variety of symptoms, including weakness in foot dorsiflexion (foot drop), sensory loss over the lateral aspect of the leg and dorsum of the foot, and difficulty with ambulation. This condition can arise from various etiologies, including trauma, compression from external sources (such as a cast or prolonged pressure), or systemic diseases such as diabetes mellitus. Diagnosis typically involves a thorough clinical examination, nerve conduction studies, and electromyography to assess the extent of nerve damage and to rule out other neuropathies. Treatment may include physical therapy, orthotic devices, and in some cases, surgical intervention to relieve compression or repair the nerve. 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

  • Variability in clinical presentation and symptoms
  • Need for differential diagnosis to rule out other neuropathies
  • Potential for co-existing conditions affecting coding
  • Documentation requirements for nerve conduction studies

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to specify laterality when applicable
  • Lack of supporting evidence for nerve conduction studies
  • Misinterpretation of symptoms leading to incorrect coding

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, results of nerve conduction studies, and treatment plans.

Common Clinical Scenarios

Patients presenting with foot drop, numbness, or tingling in the lower limb.

Billing Considerations

Ensure that all neurological deficits are documented and that the etiology of the lesion is clearly stated.

Orthopedics

Documentation Requirements

Surgical notes if applicable, imaging studies, and post-operative follow-up documentation.

Common Clinical Scenarios

Patients with trauma to the knee or leg leading to nerve injury.

Billing Considerations

Document any orthopedic interventions that may impact nerve recovery.

Coding Guidelines

Inclusion Criteria

Use G57.30 When
  • According to ICD
  • 10 coding guidelines, G57
  • 30 should be used when the lesion of the lateral popliteal nerve is confirmed but the specific limb is not documented
  • Coders should ensure that the documentation supports the diagnosis and that any relevant tests are noted

Exclusion Criteria

Do NOT use G57.30 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

95900CPT Code

Nerve conduction studies, each nerve

Clinical Scenario

Used to evaluate the function of the lateral popliteal nerve in patients with suspected lesions.

Documentation Requirements

Results of nerve conduction studies must be documented, including the specific nerves tested.

Specialty Considerations

Neurologists should ensure that the rationale for testing 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 nerve lesions, improving the accuracy of diagnoses and treatment plans. G57.30 provides a clear framework for documenting lesions of the lateral popliteal nerve, which was less specific in ICD-9.

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 plans. G57.30 provides a clear framework for documenting lesions of the lateral popliteal nerve, which was less specific in ICD-9.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of nerve lesions, improving the accuracy of diagnoses and treatment plans. G57.30 provides a clear framework for documenting lesions of the lateral popliteal nerve, which was less specific in ICD-9.

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 a lateral popliteal nerve lesion?

Common symptoms include foot drop, weakness in dorsiflexion, and sensory loss over the lateral aspect of the leg and dorsum of the foot.

How is a lateral popliteal nerve lesion diagnosed?

Diagnosis is typically made through clinical examination, nerve conduction studies, and electromyography to assess nerve function.

What treatments are available for a lateral popliteal nerve lesion?

Treatment options may include physical therapy, orthotic devices, and surgical intervention if necessary.