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ICD-10 Guide
ICD-10 CodesG57.63

G57.63

Billable

Lesion of plantar nerve, bilateral lower limbs

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

Code Description

ICD-10 G57.63 is a billable code used to indicate a diagnosis of lesion of plantar nerve, bilateral lower limbs.

Key Diagnostic Point:

The lesion of the plantar nerve, particularly in the context of bilateral lower limbs, refers to damage or dysfunction of the nerve that supplies sensation and motor function to the plantar aspect of the foot. This condition can arise from various etiologies, including trauma, compression, or systemic diseases such as diabetes mellitus. Clinically, patients may present with symptoms such as pain, numbness, tingling, or weakness in the feet, which can significantly affect mobility and quality of life. The plantar nerve is a branch of the tibial nerve, and lesions can occur due to entrapment syndromes, such as tarsal tunnel syndrome, or as a result of systemic neuropathies. Diagnosis typically involves a thorough clinical examination, patient history, and may include nerve conduction studies to assess the integrity and function of the nerve. Treatment options vary based on the underlying cause and may include conservative management, such as physical therapy and orthotics, or surgical intervention in cases of severe entrapment or injury.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between various types of neuropathies and entrapments.
  • Understanding the bilateral aspect of the condition for accurate coding.
  • Need for comprehensive documentation of symptoms and diagnostic tests.
  • Potential overlap with other nerve-related codes, requiring careful consideration.

Audit Risk Factors

  • Inadequate documentation of symptoms and clinical findings.
  • Failure to specify bilateral involvement.
  • Misinterpretation of nerve conduction study results.
  • Lack of clarity on the underlying cause of the nerve lesion.

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, including sensory and motor assessments.

Common Clinical Scenarios

Patients presenting with bilateral foot pain, numbness, or weakness.

Billing Considerations

Consideration of systemic conditions such as diabetes or autoimmune disorders that may contribute to neuropathy.

Orthopedics

Documentation Requirements

Documentation of any structural abnormalities or injuries contributing to nerve compression.

Common Clinical Scenarios

Patients with foot deformities or injuries leading to nerve entrapment.

Billing Considerations

Assessment of biomechanical factors that may exacerbate nerve lesions.

Coding Guidelines

Inclusion Criteria

Use G57.63 When
  • According to ICD
  • 10 coding guidelines, G57
  • 63 should be used when there is clear documentation of a lesion of the plantar nerve affecting both lower limbs
  • It is important to ensure that the bilateral nature of the condition is explicitly stated in the medical record

Exclusion Criteria

Do NOT use G57.63 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

95903CPT Code

Nerve conduction study, each nerve; motor, sensory, or mixed

Clinical Scenario

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

Documentation Requirements

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

Specialty Considerations

Neurologists should ensure comprehensive documentation of findings.

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 tracking. G57.63 provides a clear distinction for bilateral lesions, which was less defined 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 tracking. G57.63 provides a clear distinction for bilateral lesions, which was less defined 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 tracking. G57.63 provides a clear distinction for bilateral lesions, which was less defined 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 causes of lesions of the plantar nerve?

Common causes include trauma, repetitive stress injuries, systemic diseases like diabetes, and anatomical variations that may lead to nerve compression.