Complex regional pain syndrome I of upper limb
ICD-10 G90.51 is a billable code used to indicate a diagnosis of complex regional pain syndrome i of upper limb.
Complex Regional Pain Syndrome (CRPS) I of the upper limb is a chronic pain condition that typically follows an injury or trauma to a limb, characterized by severe pain, swelling, and changes in skin color and temperature. The pain is often disproportionate to the initial injury and may be accompanied by sensory, motor, and autonomic dysfunction. In CRPS I, there is no identifiable nerve injury, distinguishing it from CRPS II, which involves nerve damage. Patients may experience allodynia (pain from stimuli that do not normally provoke pain), hyperalgesia (increased sensitivity to pain), and trophic changes such as hair and nail growth abnormalities. The condition can lead to significant functional impairment and psychological distress, necessitating a multidisciplinary approach for management, including pain management, physical therapy, and psychological support. Early diagnosis and intervention are crucial to improve outcomes and prevent long-term disability.
Detailed pain assessments, treatment plans, and response to therapies.
Patients presenting with chronic pain following upper limb injuries.
Documentation must clearly outline the pain characteristics and treatment modalities used.
Progress notes detailing functional assessments and therapy interventions.
Patients undergoing rehabilitation for mobility and strength in the affected limb.
Therapy goals and patient progress must be clearly documented to support the diagnosis.
Used for initial assessment of CRPS I symptoms.
Detailed evaluation of functional limitations and pain assessment.
Physical therapists should document specific interventions and patient responses.
Primary symptoms include severe pain, swelling, changes in skin color and temperature, and functional impairment of the affected limb.
Diagnosis is based on clinical criteria, including the presence of pain, sensory changes, and evidence of autonomic dysfunction following an injury.
