Complex regional pain syndrome I of unspecified upper limb
ICD-10 G90.519 is a billable code used to indicate a diagnosis of complex regional pain syndrome i of unspecified upper limb.
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 surgery. The pain is disproportionate to the initial injury and is often accompanied by sensory, motor, and autonomic dysfunction. In the case of CRPS I of the unspecified upper limb, the pain is localized to the upper extremity without identifiable nerve injury. Patients may experience symptoms such as burning pain, swelling, changes in skin color and temperature, and abnormal sweating. The pathophysiology of CRPS involves a complex interplay of peripheral and central nervous system mechanisms, leading to heightened pain perception and autonomic dysregulation. Diagnosis is primarily clinical, based on symptomatology and the exclusion of other conditions. Treatment often includes pain management strategies, physical therapy, and sometimes psychological support. Early intervention is crucial to improve outcomes and prevent long-term disability.
Detailed pain assessments, treatment plans, and response to therapy.
Patients presenting with chronic pain following an upper limb injury or surgery.
Documentation must clearly outline the relationship between the injury and the onset of CRPS symptoms.
Neurological evaluations, imaging studies, and differential diagnosis documentation.
Patients with neurological symptoms following trauma to the upper limb.
Consideration of other neurological disorders that may mimic CRPS symptoms.
Used for initial assessment of CRPS symptoms.
Detailed evaluation of pain, function, and treatment goals.
Physical therapists should document the specific functional limitations related to CRPS.
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.
