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ICD-10 Guide
ICD-10 CodesG57.61

G57.61

Billable

Lesion of plantar nerve, right lower limb

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

Code Description

ICD-10 G57.61 is a billable code used to indicate a diagnosis of lesion of plantar nerve, right lower limb.

Key Diagnostic Point:

A lesion of the plantar nerve in the right lower limb refers to damage or injury to the nerve that supplies sensation and motor function to the plantar aspect of the foot. This condition can result from various etiologies, including trauma, compression, or systemic diseases such as diabetes. Clinically, patients may present with symptoms such as pain, numbness, tingling, or weakness in the foot, particularly in the areas innervated by the plantar nerve. Diagnosis typically involves a thorough clinical examination, patient history, and may include nerve conduction studies to assess the function of the nerve. These studies help determine the extent of nerve damage and guide treatment options, which may include conservative management like physical therapy, medications for pain relief, or surgical intervention in severe cases. 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 detailed documentation of nerve conduction studies
  • Differentiation from other neuropathies and entrapments
  • Potential for co-morbid conditions affecting the diagnosis

Audit Risk Factors

  • Inadequate documentation of symptoms and clinical findings
  • Failure to include results from nerve conduction studies
  • Misidentification of the affected limb
  • Inconsistent coding of co-existing conditions

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 neuropathic pain, numbness, or weakness in the foot.

Billing Considerations

Documentation must clearly indicate the specific nerve affected and the clinical rationale for the diagnosis.

Podiatry

Documentation Requirements

Foot examination findings, imaging studies if applicable, and treatment interventions.

Common Clinical Scenarios

Patients with foot pain related to nerve entrapment or diabetic neuropathy.

Billing Considerations

Focus on the functional impact of the lesion on ambulation and daily activities.

Coding Guidelines

Inclusion Criteria

Use G57.61 When
  • According to ICD
  • 10 guidelines, G57
  • 61 should be used when there is clear documentation of a lesion of the plantar nerve in the right lower limb
  • It is important to ensure that the diagnosis is supported by clinical findings and diagnostic tests

Exclusion Criteria

Do NOT use G57.61 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

95903CPT Code

Nerve conduction study, upper or lower limb

Clinical Scenario

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

Documentation Requirements

Results of the nerve conduction study must be documented, including the findings and interpretation.

Specialty Considerations

Neurologists and podiatrists should ensure that the study is relevant to the patient's symptoms.

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. G57.61 provides specificity that was not available in ICD-9, enhancing clinical data collection 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 tracking. G57.61 provides specificity that was not available in ICD-9, enhancing clinical data collection 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 symptoms of a lesion of the plantar nerve?

Common symptoms include pain, numbness, tingling, and weakness in the foot, particularly in areas supplied by the plantar nerve.

How is a lesion of the plantar nerve diagnosed?

Diagnosis typically involves a clinical examination, patient history, and nerve conduction studies to assess nerve function.

What treatment options are available for this condition?

Treatment may include conservative measures such as physical therapy and medications, or surgical intervention in severe cases.