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ICD-10 Guide
ICD-10 CodesG57.80

G57.80

Billable

Other specified mononeuropathies of unspecified lower limb

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

Code Description

ICD-10 G57.80 is a billable code used to indicate a diagnosis of other specified mononeuropathies of unspecified lower limb.

Key Diagnostic Point:

G57.80 refers to other specified mononeuropathies affecting the lower limb that do not fall under more specific categories. Mononeuropathies are conditions that affect a single nerve or a group of nerves, leading to symptoms such as pain, weakness, or numbness. In the lower limb, these neuropathies can arise from various causes, including trauma, compression, or systemic diseases. Common examples include nerve entrapments like tarsal tunnel syndrome or peroneal nerve palsy. Diagnosis often involves a thorough clinical examination, patient history, and may include nerve conduction studies to assess the electrical activity of the affected nerves. These studies help differentiate between various types of neuropathies and guide treatment options. 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 (e.g., trauma, systemic diseases)
  • Need for detailed documentation to specify the type of neuropathy
  • Potential overlap with other neuropathy codes
  • Variability in clinical presentation and symptoms

Audit Risk Factors

  • Insufficient documentation of the specific nerve affected
  • Lack of clear clinical rationale for the diagnosis
  • Inconsistent use of related codes
  • Failure to document nerve conduction study results

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, results of nerve conduction studies, and patient history.

Common Clinical Scenarios

Patients presenting with unilateral leg weakness, numbness, or pain, often following trauma or repetitive strain.

Billing Considerations

Neurologists should ensure that all relevant diagnostic tests are documented to support the use of G57.80.

Orthopedics

Documentation Requirements

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

Common Clinical Scenarios

Patients with nerve entrapments due to orthopedic conditions, such as fractures or ligament injuries.

Billing Considerations

Orthopedic surgeons must correlate the surgical findings with the neurological symptoms to justify the coding.

Coding Guidelines

Inclusion Criteria

Use G57.80 When
  • According to ICD
  • 10 guidelines, G57
  • 80 should be used when the specific mononeuropathy affecting the lower limb cannot be classified elsewhere
  • Coders must ensure that the documentation supports the diagnosis and that other more specific codes are not applicable

Exclusion Criteria

Do NOT use G57.80 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

95903CPT Code

Nerve conduction study, motor and sensory

Clinical Scenario

Used to evaluate the function of the affected nerve in patients with suspected mononeuropathy.

Documentation Requirements

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

Specialty Considerations

Neurologists should ensure that the study results correlate 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, improving the accuracy of diagnoses and treatment plans. G57.80 provides a means to capture unspecified cases, but it is essential to strive for more specific codes when possible.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of neuropathies, improving the accuracy of diagnoses and treatment plans. G57.80 provides a means to capture unspecified cases, but it is essential to strive for more specific codes when possible.

Reimbursement & Billing Impact

reimbursement.

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 mononeuropathies in the lower limb?

Common causes include trauma, nerve compression due to repetitive strain or anatomical abnormalities, systemic diseases such as diabetes, and infections.