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ICD-10 Guide
ICD-10 CodesG57.9

G57.9

Billable

Unspecified mononeuropathy of lower limb

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

Code Description

ICD-10 G57.9 is a billable code used to indicate a diagnosis of unspecified mononeuropathy of lower limb.

Key Diagnostic Point:

Unspecified mononeuropathy of the lower limb refers to a condition characterized by damage or dysfunction of a single peripheral nerve in the lower extremity, leading to symptoms such as pain, weakness, numbness, or tingling. This condition can arise from various etiologies, including trauma, compression, or systemic diseases. Common causes include nerve entrapments, such as tarsal tunnel syndrome or peroneal nerve compression, which can occur due to repetitive stress, prolonged pressure, or anatomical abnormalities. Diagnosis typically involves a thorough clinical evaluation, including a detailed history and physical examination, followed by nerve conduction studies (NCS) to assess the electrical activity of the affected nerve. These studies help differentiate mononeuropathy from other neuropathic conditions and guide treatment options. Treatment may involve conservative measures such as physical therapy, splinting, or corticosteroid injections, and in some cases, surgical intervention may be necessary to relieve nerve compression. 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 potential underlying causes
  • Need for differential diagnosis
  • Variability in clinical presentation
  • Potential for co-existing neuropathies

Audit Risk Factors

  • Insufficient documentation of symptoms
  • Lack of clear diagnosis or etiology
  • Inadequate details on nerve conduction studies
  • Failure to document treatment plans

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 unilateral leg weakness, numbness, or pain following trauma or repetitive use.

Billing Considerations

Ensure documentation specifies the affected nerve and any relevant history of systemic conditions.

Orthopedics

Documentation Requirements

Clinical notes detailing physical examination findings, imaging results, and surgical notes if applicable.

Common Clinical Scenarios

Patients with nerve entrapment syndromes due to anatomical abnormalities or post-surgical complications.

Billing Considerations

Document any surgical interventions or conservative management strategies employed.

Coding Guidelines

Inclusion Criteria

Use G57.9 When
  • According to ICD
  • 10 guidelines, G57
  • 9 should be used when the specific nerve affected is not documented
  • Coders should ensure that the documentation supports the diagnosis and that other potential causes of neuropathy are ruled out

Exclusion Criteria

Do NOT use G57.9 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

95903CPT Code

Nerve conduction study, each nerve

Clinical Scenario

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

Documentation Requirements

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

Specialty Considerations

Neurologists should ensure that the clinical rationale for the study is clearly documented.

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. G57.9 provides a framework for capturing 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. G57.9 provides a framework for capturing 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

When should I use G57.9?

Use G57.9 when a patient presents with symptoms of mononeuropathy in the lower limb, but the specific nerve affected is not documented. Ensure that the clinical documentation supports the diagnosis.