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Home/Diagnosis/ICD-10 Coding for Complex Regional Pain Syndrome

ICD-10 Coding for Complex Regional Pain Syndrome

G90.5
G56.4

Complete ICD-10-CM coding and documentation guide for icd-10 coding for complex regional pain syndrome includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
CRPS
Reflex Sympathetic Dystrophy
Causalgia
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Key Information: ICD-10 Coding for Complex Regional Pain Syndrome

Essential facts and insights about ICD-10 Coding for Complex Regional Pain Syndrome

Use ICD-10 code G90.5 for complex regional pain syndrome i, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Complex Regional Pain Syndrome I

Non-Billable
G90.5
Non-Billable

Diagnostic Criteria

clinical:
  • • Pain disproportionate to injury with symptoms in 3/4 Budapest categories
coding:
  • • No documented nerve injury

Applicable To

  • • Reflex Sympathetic Dystrophy

Important Notes

  • • Ensure documentation specifies absence of nerve injury for CRPS I

Causalgia of upper limb

Non-Billable
G56.4
Non-Billable

Diagnostic Criteria

clinical:
  • • Documented peripheral nerve injury

Important Notes

  • • Ensure nerve injury is documented for CRPS II
Ancillary Codes

Additional codes that may be used with this diagnosis

G89.21

Chronic pain due to trauma

Use for chronic pain management related to CRPS

Frequently Asked Questions

What is the ICD-10 code for complex regional pain syndrome?

The ICD-10 code for Complex Regional Pain Syndrome I (CRPS I) is G90.5. Use this code when there is no documented nerve injury.

How do you differentiate between CRPS I and CRPS II?

CRPS I (G90.5) is used when there is no nerve injury, while CRPS II (G56.4/G57.7) requires documented nerve injury.

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