Complete ICD-10-CM coding and documentation guide for icd-10 coding for bilateral carpal tunnel syndrome includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Bilateral Carpal Tunnel Syndrome
Use ICD-10 code G56.03 for carpal tunnel syndrome, bilateral upper limbs, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
Pain in bilateral hands
Use for symptom management encounters related to pain in both hands.
The ICD-10 code for bilateral carpal tunnel syndrome is G56.03. This code is used when both hands are affected and confirmed by clinical and electrodiagnostic evidence.
Documentation should specify 'bilateral' and include clinical findings such as positive Tinel's and Phalen's tests, and EMG/NCS results confirming median nerve compression.