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ICD-10 Guide
ICD-10 CodesG57.41

G57.41

Billable

Lesion of medial popliteal nerve, right lower limb

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

Code Description

ICD-10 G57.41 is a billable code used to indicate a diagnosis of lesion of medial popliteal nerve, right lower limb.

Key Diagnostic Point:

The medial popliteal nerve, a branch of the sciatic nerve, is responsible for innervating the muscles and skin in the posterior compartment of the leg and the plantar aspect of the foot. A lesion of this nerve can result from various etiologies, including trauma, compression, or systemic diseases such as diabetes mellitus. Clinically, patients may present with symptoms such as pain, weakness, or sensory loss in the right lower limb, particularly affecting the calf and foot. The diagnosis is often confirmed through clinical examination and may be supported by nerve conduction studies (NCS) that assess the electrical activity of the nerve. These studies can help differentiate between neuropathies and other conditions that may mimic the symptoms of a medial popliteal nerve lesion. Treatment options vary based on the underlying cause and may include physical therapy, pain management, or surgical intervention in cases of significant compression or injury.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between various types of nerve lesions
  • Understanding the anatomical variations of the popliteal nerve
  • Interpreting nerve conduction study results
  • Documenting the specific location and nature of the lesion

Audit Risk Factors

  • Inadequate documentation of the lesion's nature and cause
  • Failure to include relevant diagnostic tests like NCS
  • Misidentification of the affected nerve
  • Inconsistent coding with clinical findings

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, including sensory and motor assessments.

Common Clinical Scenarios

Patients presenting with unilateral leg weakness or sensory loss.

Billing Considerations

Ensure that all relevant diagnostic tests, such as NCS, are documented to support the diagnosis.

Orthopedics

Documentation Requirements

Surgical notes if intervention is performed, including pre-operative and post-operative assessments.

Common Clinical Scenarios

Patients with traumatic injuries leading to nerve lesions.

Billing Considerations

Document the mechanism of injury and any associated orthopedic conditions.

Coding Guidelines

Inclusion Criteria

Use G57.41 When
  • According to ICD
  • 10 guidelines, G57
  • 41 should be used when there is a confirmed lesion of the medial popliteal nerve in the right lower limb
  • It is essential to document the specific nature of the lesion and any associated symptoms

Exclusion Criteria

Do NOT use G57.41 When
  • Exclusion criteria include lesions not specifically affecting the medial popliteal nerve

Related ICD-10 Codes

Related CPT Codes

95903CPT Code

Nerve conduction study, upper or lower limb

Clinical Scenario

Used to confirm the diagnosis of a medial popliteal nerve lesion.

Documentation Requirements

Document the findings of the nerve conduction study and correlate with clinical symptoms.

Specialty Considerations

Neurologists should ensure that the study is performed and interpreted correctly.

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. G57.41 provides a clear indication of the affected nerve, which aids in clinical decision-making and reimbursement processes.

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. G57.41 provides a clear indication of the affected nerve, which aids in clinical decision-making 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 are the common causes of a medial popliteal nerve lesion?

Common causes include trauma, compression from tumors or cysts, and systemic conditions such as diabetes that can lead to neuropathy.