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Home/Diagnosis/ICD-10 Coding for Phantom Limb Pain

ICD-10 Coding for Phantom Limb Pain

G54.6
M79.6-

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

Also Known as:
PLP
Phantom Pain
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Key Information: ICD-10 Coding for Phantom Limb Pain

Essential facts and insights about ICD-10 Coding for Phantom Limb Pain

Use ICD-10 code G54.6 for phantom limb syndrome with pain, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Phantom limb syndrome with pain

Billable Code
G54.6
Billable

Diagnostic Criteria

  • • Presence of 'phantom limb syndrome' in documentation

Applicable To

  • • Phantom limb syndrome with pain

Important Notes

  • • Ensure 'syndrome' is documented to use G54.6.

Pain in limb

Non-Billable
M79.6-
Non-Billable

Diagnostic Criteria

  • • Documentation of pain in a specific limb without 'syndrome' terminology

Applicable To

  • • Pain in limb, hand, foot, fingers and toes

Important Notes

  • • Ensure to pair with Z89.- for complete coding.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z89.-

Acquired absence of limb

Document the absence of the limb, required with G54.6.

Frequently Asked Questions

What is the ICD-10 code for phantom limb pain?

The ICD-10 code for phantom limb pain with syndrome is G54.6. If the syndrome is not documented, use M79.6- for limb pain.

How do you document phantom limb pain?

Document 'phantom limb syndrome' with pain characteristics and pair with Z89.- for limb absence.

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