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

ICD-10 Coding for Complex Regional Pain Syndrome (CRPS)

G90.50
G90.51

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

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

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

Use ICD-10 code G90.50 for crps type 1, unspecified, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

CRPS Type 1, unspecified

Billable Code
G90.50
Billable

Diagnostic Criteria

  • • Persistent pain disproportionate to inciting event
  • • Budapest criteria: sensory, vasomotor, sudomotor/edema, motor/trophic changes

Applicable To

  • • Reflex Sympathetic Dystrophy

Important Notes

  • • Ensure documentation supports CRPS diagnosis with specific criteria.

CRPS Type 1 of right upper limb

Non-Billable
G90.51
Non-Billable

Diagnostic Criteria

  • • Persistent pain disproportionate to inciting event
  • • Budapest criteria: sensory, vasomotor, sudomotor/edema, motor/trophic changes

Applicable To

  • • Reflex Sympathetic Dystrophy of right upper limb

Important Notes

  • • Ensure documentation supports CRPS diagnosis with specific criteria.
Ancillary Codes

Additional codes that may be used with this diagnosis

G89.1

Acute pain, not elsewhere classified

Use for acute pain management related to CRPS.

G89.2

Chronic pain, not elsewhere classified

Use for chronic pain management related to CRPS.

Frequently Asked Questions

What is the ICD-10 code for CRPS Type 1?

The ICD-10 code for CRPS Type 1 is G90.50 when unspecified, or G90.51 for the right upper limb.

How do you document CRPS for coding?

Document CRPS using the Budapest criteria, including sensory, vasomotor, sudomotor, and motor findings, with specific laterality.

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