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ICD-10 Guide
ICD-10 CodesG57.4

G57.4

Billable

Lesion of medial popliteal nerve

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

Code Description

ICD-10 G57.4 is a billable code used to indicate a diagnosis of lesion of medial popliteal nerve.

Key Diagnostic Point:

The medial popliteal nerve, a branch of the sciatic nerve, is responsible for innervating the muscles of the posterior compartment of the leg and providing sensation to parts of the foot. A lesion of this nerve can result from various causes, including trauma, compression, or systemic diseases such as diabetes mellitus. Clinically, patients may present with symptoms such as weakness in plantar flexion, loss of sensation in the sole of the foot, and difficulty with toe movements. Diagnosis typically involves a thorough clinical examination, nerve conduction studies, and possibly imaging studies to identify the underlying cause of the nerve lesion. Treatment may include physical therapy, pain management, and in some cases, surgical intervention to relieve compression or repair the nerve. Understanding the specific nature of the lesion is crucial for effective management and rehabilitation.

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 accurately
  • Documenting the specific symptoms and their impact on function

Audit Risk Factors

  • Inadequate documentation of symptoms and clinical findings
  • Failure to specify the type of nerve lesion
  • Lack of supporting evidence from nerve conduction studies
  • Misclassification of the lesion type

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, including sensory and motor assessments.

Common Clinical Scenarios

Patients presenting with foot drop, numbness, or pain in the posterior leg.

Billing Considerations

Ensure documentation reflects the severity and duration of symptoms for accurate coding.

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 requiring surgical intervention.

Billing Considerations

Document any imaging studies performed to support the diagnosis.

Coding Guidelines

Inclusion Criteria

Use G57.4 When
  • According to ICD
  • 10 coding guidelines, G57
  • 4 should be used when there is clear documentation of a lesion of the medial popliteal nerve
  • It is important to include the cause of the lesion if known, as this may affect treatment and management

Exclusion Criteria

Do NOT use G57.4 When
  • Exclusion criteria include conditions that do not specifically involve the medial popliteal nerve

Related ICD-10 Codes

Related CPT Codes

95903CPT Code

Nerve conduction study, motor

Clinical Scenario

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

Documentation Requirements

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

Specialty Considerations

Neurologists should ensure that the study is comprehensive and interpretable.

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. G57.4 provides a clear designation for lesions of the medial popliteal nerve, facilitating better patient management and research.

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. G57.4 provides a clear designation for lesions of the medial popliteal nerve, facilitating better patient management and research.

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. G57.4 provides a clear designation for lesions of the medial popliteal nerve, facilitating better patient management and research.

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 surrounding structures, and systemic conditions such as diabetes mellitus that can lead to neuropathy.