Complex regional pain syndrome I of upper limb, bilateral
ICD-10 G90.513 is a billable code used to indicate a diagnosis of complex regional pain syndrome i of upper limb, bilateral.
Complex Regional Pain Syndrome (CRPS) I, previously known as Reflex Sympathetic Dystrophy (RSD), is a chronic pain condition that typically affects a limb following an injury or trauma. In the case of G90.513, the syndrome manifests in both upper limbs. Patients often experience severe, persistent pain that is disproportionate to the initial injury. Symptoms may include swelling, changes in skin color and temperature, and abnormal sweating. The pain is often described as burning or throbbing and can be accompanied by motor dysfunction, such as weakness or tremors. The exact pathophysiology of CRPS is not fully understood, but it is believed to involve a combination of peripheral and central nervous system changes, including dysregulation of the autonomic nervous system. Diagnosis is primarily clinical, based on patient history and symptomatology, and may be supported by imaging studies or nerve conduction tests. Treatment often involves a multidisciplinary approach, including pain management, physical therapy, and psychological support.
Detailed pain assessments, treatment plans, and response to therapies.
Patients presenting with chronic pain following trauma or surgery.
Documentation must clearly outline the nature of pain and any functional limitations.
Neurological evaluations, imaging results, and differential diagnoses.
Patients with neurological symptoms following an injury, including CRPS.
Must differentiate CRPS from other neurological disorders.
Used for initial assessment of CRPS symptoms and treatment planning.
Detailed evaluation of physical function and pain levels.
Physical therapists must document the specific impact of CRPS on mobility.
CRPS I occurs without identifiable nerve injury, while CRPS II is associated with a confirmed nerve injury. Both conditions present with similar symptoms but differ in their underlying causes.
