LCD Reference Article Billing and Coding Article

Billing and Coding: Nerve Conduction Studies and Electromyography

A57123

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Draft Articles are works in progress and not necessarily a reflection of the current billing and coding practices. Revisions to codes are carefully and thoroughly reviewed and are not intended to change the original intent of the LCD.

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Source Article ID
N/A
Article ID
A57123
Original ICD-9 Article ID
Not Applicable
Article Title
Billing and Coding: Nerve Conduction Studies and Electromyography
Article Type
Billing and Coding
Original Effective Date
10/03/2018
Revision Effective Date
01/01/2024
Revision Ending Date
N/A
Retirement Date
N/A
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Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

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Making copies or utilizing the content of the UB‐04 Manual, including the codes and/or descriptions, for internal purposes, resale and/or to be used in any product or publication; creating any modified or derivative work of the UB‐04 Manual and/or codes and descriptions; and/or making any commercial use of UB‐04 Manual or any portion thereof, including the codes and/or descriptions, is only authorized with an express license from the American Hospital Association. The American Hospital Association (the "AHA") has not reviewed, and is not responsible for, the completeness or accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the preparation of this material, or the analysis of information provided in the material. The views and/or positions presented in the material do not necessarily represent the views of the AHA. CMS and its products and services are not endorsed by the AHA or any of its affiliates.

CMS National Coverage Policy

Social Security Act (Title XVIII) Standard References:

  • Title XVIII of the Social Security Act, Section 1833(e) states that no payment shall be made to any provider of services or other person under this part unless there has been furnished such information as may be necessary in order to determine the amounts due such provider or other person under this part for the period with respect to which the amounts are being paid or for any prior period.

Medicare National Correct Coding Initiative (NCCI) Policy Manual:

  • Chapter 11, Section L-Neurology and Neuromuscular Procedures

Article Guidance

Article Text

This Billing and Coding Article provides billing and coding guidance for Local Coverage Determination (LCD) L34859 Nerve Conduction Studies and Electromyography. Please refer to the LCD for reasonable and necessary requirements.

Coding Guidance

Notice: It is not appropriate to bill Medicare for services that are not covered (as described by the entire LCD) as if they are covered. When billing for non-covered services, use the appropriate modifier.

Consistent with the LCD, nerve conduction studies (NCSs) without needle electromyography (NEMG) will be allowed for:

  • Individuals being evaluated for carpal tunnel syndrome or tarsal tunnel syndrome when one of the following diagnosis codes are reported: G56.01, G56.02, G56.03, G57.51, G57.52 or G57.53.
  • Individuals with significant lymphedema in the affected extremity when the following diagnosis code is reported in addition to the primary diagnosis: I89.0.
  • Individuals treated with anticoagulants when one of the following diagnosis codes are reported in addition to the primary diagnosis: Z79.01 or Z79.02.

NCSs and NEMG performed on the same day, for the same patient must be reported on the same claim.

Consistent with the LCD, the following services/tests are non-covered. Therefore, when billing these services/tests report the unlisted neurological diagnostic CPT code 95999. When submitting claims, providers must provide a description of the service/test in block 80 (Part A for the UBO4 claim), box 19 (Part B for a paper claim) or electronic equivalent of the claim. Failure to include this information on the claim will result in Part A claims being returned to the provider and Part B claims being rejected.

  • Non-invasive electrodiagnostic (EDX) testing using portable hand-held devices or automated point of care nerve conduction monitoring systems, which are incapable of real-time waveform display and analysis
  • Psychophysical measurements (electrical, vibratory, or thermal perceptions), even though they may involve delivery of a stimulus, are considered part of the physical examination and may not be reported as a separate service
  • Physiologic recording of movement disorder symptoms, including bradykinesia, dyskinesia, and tremor using wearable devices with accelerometers or gyroscopes
  • NEMG for Surface electromyography (SEMG) or Macroelectromyography (macro-EMG)

For HCPCS code G0255, refer to the CMS IOM Publication 100-03, Medicare National Coverage Determinations (NCD) Manual, Chapter 1, Part 2, Section 160.23 Sensory Nerve Conduction Threshold Tests (sNCTs).

Utilization Parameters

Studies performed per day beyond the reasonable maximum number of studies recommended in the Current Procedural Terminology (CPT®) Codebook, Appendix J, Electrodiagnostic Medicine Listing of Sensory, Motor, and Mixed Nerves will be denied. Additional studies may be considered on redetermination.

Consistent with the LCD, the following number of tests per 12-month period per diagnosis per provider for repeat EDX assessment are suitable: 1) Two studies for carpal tunnel-unilateral, carpal tunnel-bilateral, radiculopathy, mononeuropathy, polyneuropathy, myopathy, and neuromuscular junction (NMJ) disorders. 2) Three studies for motor neuron disease and plexopathy.

Documentation Requirements

  1. All documentation must be maintained in the patient's medical record and made available to the contractor upon request.
  2. Every page of the record must be legible and include appropriate patient identification information (e.g., complete name, dates of service[s]). The documentation must include the legible signature of the physician or non-physician practitioner responsible for and providing the care to the patient.
  3. The submitted medical record must support the use of the selected ICD-10-CM code(s). The submitted CPT/HCPCS code must describe the service performed.
  4. The patient’s medical records must clearly document the medical necessity for the test. The indication for ordering the test(s) and a clear diagnostic impression are required in each report. In cases where documentation is requested, a hard copy of waveforms and/or a complete written report with an interpretation of the test, sufficient to support that the test was medically reasonable and necessary must be submitted.
  5. Normal findings and abnormalities uncovered during the study should be documented with the nerves and muscles tested, the presence and type of spontaneous activity, as well as the characteristics of the voluntary unit potentials and interpretation. Expected normal value range for the specific EDX device should also be included.
  6. If a patient has had analogous testing performed in the past, documentation should also be included that references the date it was performed as well as results and subsequent management based on those findings.

Response To Comments

Number Comment Response
1
N/A

Coding Information

Bill Type Codes

Code Description
999x Not Applicable
N/A

Revenue Codes

Code Description
N/A

CPT/HCPCS Codes

Group 1

(2 Codes)
Group 1 Paragraph


Providers are reminded to refer to the long descriptors of the CPT codes in their CPT book.

Electromyography of Anal or Urethral Sphincter

 

Group 1 Codes
Code Description
51784 Anal/urinary muscle study
51785 Anal/urinary muscle study

Group 2

(1 Code)
Group 2 Paragraph


Needle Electromyography for Guidance in Conjunction with Chemodenervation

Group 2 Codes
Code Description
95874 Guide nerv destr needle emg

Group 3

(18 Codes)
Group 3 Paragraph


Needle Electromyography and Nerve Conduction Studies

Group 3 Codes
Code Description
95860 Muscle test one limb
95861 Muscle test 2 limbs
95863 Muscle test 3 limbs
95864 Muscle test 4 limbs
95867 Muscle test cran nerv unilat
95868 Muscle test cran nerve bilat
95869 Muscle test thor paraspinal
95870 Muscle test nonparaspinal
95885 Musc tst done w/nerv tst lim
95886 Musc test done w/n test comp
95887 Musc tst done w/n tst nonext
95907 Nvr cndj tst 1-2 studies
95908 Nrv cndj tst 3-4 studies
95909 Nrv cndj tst 5-6 studies
95910 Nrv cndj test 7-8 studies
95911 Nrv cndj test 9-10 studies
95912 Nrv cndj test 11-12 studies
95913 Nrv cndj test 13/> studies

Group 4

(1 Code)
Group 4 Paragraph


Neuromuscular Junction Testing

Group 4 Codes
Code Description
95937 Neuromuscular junction test

Group 5

(1 Code)
Group 5 Paragraph


Needle Electromyography of the Larynx

Group 5 Codes
Code Description
95865 Muscle test larynx

Group 6

(1 Code)
Group 6 Paragraph


Single Fiber Electromyography

Group 6 Codes
Code Description
95872 Muscle test one fiber

Group 7

(9 Codes)
Group 7 Paragraph

To bill the following non-covered services/tests, report CPT code 95999 appended with the GY modifier. When submitting claims, providers must provide a description of the service/test in the narrative/remarks field (Item 19) on the CMS-1500 claim form or the electronic equivalent: 1) Non-invasive EDX testing using portable hand-held devices or automated point of care nerve conduction monitoring systems, which are incapable of real-time waveform display and analysis 2) Psychophysical measurements (electrical, vibratory or thermal perceptions), even though they may involve delivery of a stimulus, are considered part of the physical examination and may not be reported as a separate service 3) Physiologic recording of movement disorder symptoms, including bradykinesia, dyskinesia, and tremor using wearable devices with accelerometers or gyroscopes 4) Needle electromyography (NEMG) for Surface electromyography (SEMG) or Macroelectromyography (macro-EMG).

The following CPT codes are Non-Covered:

Group 7 Codes
Code Description
92265 Ndl oculoelectromyography 1+
95866 Muscle test hemidiaphragm
95905 Motor &/ sens nrve cndj test
95933 Blink reflex test
0106T Touch quant sensory test
0107T Vibrate quant sensory test
0108T Cool quant sensory test
0109T Heat quant sensory test
0110T Nos quant sensory test
N/A

CPT/HCPCS Modifiers

Group 1

Group 1 Paragraph

N/A

Group 1 Codes

N/A

N/A

ICD-10-CM Codes that Support Medical Necessity

Group 1

(70 Codes)
Group 1 Paragraph


It is the provider’s responsibility to select codes carried out to the highest level of specificity and selected from the ICD-10-CM code book appropriate to the year in which the service is rendered for the claim(s) submitted.

The following ICD-10-CM codes support medical necessity and provide coverage for CPT codes: 51784 and 51785.

 

Group 1 Codes
Code Description
E08.43 Diabetes mellitus due to underlying condition with diabetic autonomic (poly)neuropathy
E09.43 Drug or chemical induced diabetes mellitus with neurological complications with diabetic autonomic (poly)neuropathy
E10.43 Type 1 diabetes mellitus with diabetic autonomic (poly)neuropathy
E11.43 Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathy
E13.43 Other specified diabetes mellitus with diabetic autonomic (poly)neuropathy
G20.A1 Parkinson's disease without dyskinesia, without mention of fluctuations
G20.A2 Parkinson's disease without dyskinesia, with fluctuations
G20.B1 Parkinson's disease with dyskinesia, without mention of fluctuations
G20.B2 Parkinson's disease with dyskinesia, with fluctuations
G35 Multiple sclerosis
G83.4 Cauda equina syndrome
K59.01 Slow transit constipation
K59.02 Outlet dysfunction constipation
K59.04 Chronic idiopathic constipation
K59.09 Other constipation
K59.2 Neurogenic bowel, not elsewhere classified
K59.4 Anal spasm
M47.11 Other spondylosis with myelopathy, occipito-atlanto-axial region
M47.12 Other spondylosis with myelopathy, cervical region
M47.13 Other spondylosis with myelopathy, cervicothoracic region
M47.14 Other spondylosis with myelopathy, thoracic region
M47.15 Other spondylosis with myelopathy, thoracolumbar region
M47.16 Other spondylosis with myelopathy, lumbar region
M47.21 Other spondylosis with radiculopathy, occipito-atlanto-axial region
M47.22 Other spondylosis with radiculopathy, cervical region
M47.23 Other spondylosis with radiculopathy, cervicothoracic region
M47.24 Other spondylosis with radiculopathy, thoracic region
M47.25 Other spondylosis with radiculopathy, thoracolumbar region
M47.26 Other spondylosis with radiculopathy, lumbar region
M47.27 Other spondylosis with radiculopathy, lumbosacral region
M47.28 Other spondylosis with radiculopathy, sacral and sacrococcygeal region
M48.01 Spinal stenosis, occipito-atlanto-axial region
M48.02 Spinal stenosis, cervical region
M48.03 Spinal stenosis, cervicothoracic region
M48.04 Spinal stenosis, thoracic region
M48.05 Spinal stenosis, thoracolumbar region
M48.062 Spinal stenosis, lumbar region with neurogenic claudication
M48.07 Spinal stenosis, lumbosacral region
M48.08 Spinal stenosis, sacral and sacrococcygeal region
N31.0 Uninhibited neuropathic bladder, not elsewhere classified
N31.1 Reflex neuropathic bladder, not elsewhere classified
N31.2 Flaccid neuropathic bladder, not elsewhere classified
N31.8 Other neuromuscular dysfunction of bladder
N31.9 Neuromuscular dysfunction of bladder, unspecified
N36.42 Intrinsic sphincter deficiency (ISD)
N36.43 Combined hypermobility of urethra and intrinsic sphincter deficiency
N36.44 Muscular disorders of urethra
N36.8 Other specified disorders of urethra
N39.3 Stress incontinence (female) (male)
N39.41 Urge incontinence
N39.42 Incontinence without sensory awareness
N39.43 Post-void dribbling
N39.44 Nocturnal enuresis
N39.45 Continuous leakage
N39.46 Mixed incontinence
N39.490 Overflow incontinence
N39.491 Coital incontinence
N39.492 Postural (urinary) incontinence
N39.498 Other specified urinary incontinence
R15.0 Incomplete defecation
R15.1 Fecal smearing
R15.2 Fecal urgency
R15.9 Full incontinence of feces
R32 Unspecified urinary incontinence
R33.8 Other retention of urine
R33.9 Retention of urine, unspecified
R35.0 Frequency of micturition
R39.14 Feeling of incomplete bladder emptying
R39.15 Urgency of urination
R39.191 Need to immediately re-void

Group 2

(215 Codes)
Group 2 Paragraph


It is the provider’s responsibility to select codes carried out to the highest level of specificity and selected from the ICD-10-CM code book appropriate to the year in which the service is rendered for the claim(s) submitted.

The following ICD-10-CM codes support medical necessity and provide coverage for CPT code: 95874.

Group 2 Codes
Code Description
F95.1 Chronic motor or vocal tic disorder
F95.2 Tourette's disorder
G11.4 Hereditary spastic paraplegia
G24.3 Spasmodic torticollis
G24.4 Idiopathic orofacial dystonia
G24.5 Blepharospasm
G24.8 Other dystonia
G25.0 Essential tremor
G43.701 Chronic migraine without aura, not intractable, with status migrainosus
G43.709 Chronic migraine without aura, not intractable, without status migrainosus
G43.711 Chronic migraine without aura, intractable, with status migrainosus
G43.719 Chronic migraine without aura, intractable, without status migrainosus
G51.31 Clonic hemifacial spasm, right
G51.32 Clonic hemifacial spasm, left
G51.33 Clonic hemifacial spasm, bilateral
G80.0 Spastic quadriplegic cerebral palsy
G80.1 Spastic diplegic cerebral palsy
G80.2 Spastic hemiplegic cerebral palsy
G80.8 Other cerebral palsy
G81.11 Spastic hemiplegia affecting right dominant side
G81.12 Spastic hemiplegia affecting left dominant side
G81.13 Spastic hemiplegia affecting right nondominant side
G81.14 Spastic hemiplegia affecting left nondominant side
G82.20 Paraplegia, unspecified
G82.21 Paraplegia, complete
G82.22 Paraplegia, incomplete
G82.50 Quadriplegia, unspecified
G82.51 Quadriplegia, C1-C4 complete
G82.52 Quadriplegia, C1-C4 incomplete
G82.53 Quadriplegia, C5-C7 complete
G82.54 Quadriplegia, C5-C7 incomplete
G83.0 Diplegia of upper limbs
G83.10 Monoplegia of lower limb affecting unspecified side
G83.11 Monoplegia of lower limb affecting right dominant side
G83.12 Monoplegia of lower limb affecting left dominant side
G83.13 Monoplegia of lower limb affecting right nondominant side
G83.14 Monoplegia of lower limb affecting left nondominant side
G83.20 Monoplegia of upper limb affecting unspecified side
G83.21 Monoplegia of upper limb affecting right dominant side
G83.22 Monoplegia of upper limb affecting left dominant side
G83.23 Monoplegia of upper limb affecting right nondominant side
G83.24 Monoplegia of upper limb affecting left nondominant side
G83.30 Monoplegia, unspecified affecting unspecified side
G83.31 Monoplegia, unspecified affecting right dominant side
G83.32 Monoplegia, unspecified affecting left dominant side
G83.33 Monoplegia, unspecified affecting right nondominant side
G83.34 Monoplegia, unspecified affecting left nondominant side
H49.01 Third [oculomotor] nerve palsy, right eye
H49.02 Third [oculomotor] nerve palsy, left eye
H49.03 Third [oculomotor] nerve palsy, bilateral
H49.11 Fourth [trochlear] nerve palsy, right eye
H49.12 Fourth [trochlear] nerve palsy, left eye
H49.13 Fourth [trochlear] nerve palsy, bilateral
H49.21 Sixth [abducent] nerve palsy, right eye
H49.22 Sixth [abducent] nerve palsy, left eye
H49.23 Sixth [abducent] nerve palsy, bilateral
H49.31 Total (external) ophthalmoplegia, right eye
H49.32 Total (external) ophthalmoplegia, left eye
H49.33 Total (external) ophthalmoplegia, bilateral
H49.41 Progressive external ophthalmoplegia, right eye
H49.42 Progressive external ophthalmoplegia, left eye
H49.43 Progressive external ophthalmoplegia, bilateral
H49.881 Other paralytic strabismus, right eye
H49.882 Other paralytic strabismus, left eye
H49.883 Other paralytic strabismus, bilateral
H50.011 Monocular esotropia, right eye
H50.012 Monocular esotropia, left eye
H50.021 Monocular esotropia with A pattern, right eye
H50.022 Monocular esotropia with A pattern, left eye
H50.031 Monocular esotropia with V pattern, right eye
H50.032 Monocular esotropia with V pattern, left eye
H50.041 Monocular esotropia with other noncomitancies, right eye
H50.042 Monocular esotropia with other noncomitancies, left eye
H50.05 Alternating esotropia
H50.06 Alternating esotropia with A pattern
H50.07 Alternating esotropia with V pattern
H50.08 Alternating esotropia with other noncomitancies
H50.111 Monocular exotropia, right eye
H50.112 Monocular exotropia, left eye
H50.121 Monocular exotropia with A pattern, right eye
H50.122 Monocular exotropia with A pattern, left eye
H50.131 Monocular exotropia with V pattern, right eye
H50.132 Monocular exotropia with V pattern, left eye
H50.141 Monocular exotropia with other noncomitancies, right eye
H50.142 Monocular exotropia with other noncomitancies, left eye
H50.15 Alternating exotropia
H50.16 Alternating exotropia with A pattern
H50.17 Alternating exotropia with V pattern
H50.18 Alternating exotropia with other noncomitancies
H50.21 Vertical strabismus, right eye
H50.22 Vertical strabismus, left eye
H50.311 Intermittent monocular esotropia, right eye
H50.312 Intermittent monocular esotropia, left eye
H50.32 Intermittent alternating esotropia
H50.331 Intermittent monocular exotropia, right eye
H50.332 Intermittent monocular exotropia, left eye
H50.34 Intermittent alternating exotropia
H50.411 Cyclotropia, right eye
H50.412 Cyclotropia, left eye
H50.42 Monofixation syndrome
H50.43 Accommodative component in esotropia
H50.51 Esophoria
H50.52 Exophoria
H50.53 Vertical heterophoria
H50.54 Cyclophoria
H50.55 Alternating heterophoria
H50.611 Brown's sheath syndrome, right eye
H50.612 Brown's sheath syndrome, left eye
H50.69 Other mechanical strabismus
H50.811 Duane's syndrome, right eye
H50.812 Duane's syndrome, left eye
H50.89 Other specified strabismus
H51.11 Convergence insufficiency
H51.8 Other specified disorders of binocular movement
I69.031 Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting right dominant side
I69.032 Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting left dominant side
I69.033 Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting right non-dominant side
I69.034 Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting left non-dominant side
I69.041 Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting right dominant side
I69.042 Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting left dominant side
I69.043 Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting right non-dominant side
I69.044 Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting left non-dominant side
I69.051 Hemiplegia and hemiparesis following nontraumatic subarachnoid hemorrhage affecting right dominant side
I69.052 Hemiplegia and hemiparesis following nontraumatic subarachnoid hemorrhage affecting left dominant side
I69.053 Hemiplegia and hemiparesis following nontraumatic subarachnoid hemorrhage affecting right non-dominant side
I69.054 Hemiplegia and hemiparesis following nontraumatic subarachnoid hemorrhage affecting left non-dominant side
I69.061 Other paralytic syndrome following nontraumatic subarachnoid hemorrhage affecting right dominant side
I69.062 Other paralytic syndrome following nontraumatic subarachnoid hemorrhage affecting left dominant side
I69.063 Other paralytic syndrome following nontraumatic subarachnoid hemorrhage affecting right non-dominant side
I69.064 Other paralytic syndrome following nontraumatic subarachnoid hemorrhage affecting left non-dominant side
I69.065 Other paralytic syndrome following nontraumatic subarachnoid hemorrhage, bilateral
I69.131 Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting right dominant side
I69.132 Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting left dominant side
I69.133 Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting right non-dominant side
I69.134 Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting left non-dominant side
I69.141 Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting right dominant side
I69.142 Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting left dominant side
I69.143 Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting right non-dominant side
I69.144 Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting left non-dominant side
I69.151 Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting right dominant side
I69.152 Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting left dominant side
I69.153 Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting right non-dominant side
I69.154 Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting left non-dominant side
I69.161 Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting right dominant side
I69.162 Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting left dominant side
I69.163 Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting right non-dominant side
I69.164 Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting left non-dominant side
I69.165 Other paralytic syndrome following nontraumatic intracerebral hemorrhage, bilateral
I69.231 Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting right dominant side
I69.232 Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting left dominant side
I69.233 Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting right non-dominant side
I69.234 Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting left non-dominant side
I69.241 Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting right dominant side
I69.242 Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting left dominant side
I69.243 Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting right non-dominant side
I69.244 Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting left non-dominant side
I69.251 Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting right dominant side
I69.252 Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting left dominant side
I69.253 Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting right non-dominant side
I69.254 Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting left non-dominant side
I69.261 Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting right dominant side
I69.262 Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting left dominant side
I69.263 Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting right non-dominant side
I69.264 Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting left non-dominant side
I69.265 Other paralytic syndrome following other nontraumatic intracranial hemorrhage, bilateral
I69.331 Monoplegia of upper limb following cerebral infarction affecting right dominant side
I69.332 Monoplegia of upper limb following cerebral infarction affecting left dominant side
I69.333 Monoplegia of upper limb following cerebral infarction affecting right non-dominant side
I69.334 Monoplegia of upper limb following cerebral infarction affecting left non-dominant side
I69.341 Monoplegia of lower limb following cerebral infarction affecting right dominant side
I69.342 Monoplegia of lower limb following cerebral infarction affecting left dominant side
I69.343 Monoplegia of lower limb following cerebral infarction affecting right non-dominant side
I69.344 Monoplegia of lower limb following cerebral infarction affecting left non-dominant side
I69.351 Hemiplegia and hemiparesis following cerebral infarction affecting right dominant side
I69.352 Hemiplegia and hemiparesis following cerebral infarction affecting left dominant side
I69.353 Hemiplegia and hemiparesis following cerebral infarction affecting right non-dominant side
I69.354 Hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side
I69.361 Other paralytic syndrome following cerebral infarction affecting right dominant side
I69.362 Other paralytic syndrome following cerebral infarction affecting left dominant side
I69.363 Other paralytic syndrome following cerebral infarction affecting right non-dominant side
I69.364 Other paralytic syndrome following cerebral infarction affecting left non-dominant side
I69.365 Other paralytic syndrome following cerebral infarction, bilateral
I69.831 Monoplegia of upper limb following other cerebrovascular disease affecting right dominant side
I69.832 Monoplegia of upper limb following other cerebrovascular disease affecting left dominant side
I69.833 Monoplegia of upper limb following other cerebrovascular disease affecting right non-dominant side
I69.834 Monoplegia of upper limb following other cerebrovascular disease affecting left non-dominant side
I69.841 Monoplegia of lower limb following other cerebrovascular disease affecting right dominant side
I69.842 Monoplegia of lower limb following other cerebrovascular disease affecting left dominant side
I69.843 Monoplegia of lower limb following other cerebrovascular disease affecting right non-dominant side
I69.844 Monoplegia of lower limb following other cerebrovascular disease affecting left non-dominant side
I69.851 Hemiplegia and hemiparesis following other cerebrovascular disease affecting right dominant side
I69.852 Hemiplegia and hemiparesis following other cerebrovascular disease affecting left dominant side
I69.853 Hemiplegia and hemiparesis following other cerebrovascular disease affecting right non-dominant side
I69.854 Hemiplegia and hemiparesis following other cerebrovascular disease affecting left non-dominant side
I69.931 Monoplegia of upper limb following unspecified cerebrovascular disease affecting right dominant side
I69.932 Monoplegia of upper limb following unspecified cerebrovascular disease affecting left dominant side
I69.933 Monoplegia of upper limb following unspecified cerebrovascular disease affecting right non-dominant side
I69.934 Monoplegia of upper limb following unspecified cerebrovascular disease affecting left non-dominant side
I69.941 Monoplegia of lower limb following unspecified cerebrovascular disease affecting right dominant side
I69.942 Monoplegia of lower limb following unspecified cerebrovascular disease affecting left dominant side
I69.943 Monoplegia of lower limb following unspecified cerebrovascular disease affecting right non-dominant side
I69.944 Monoplegia of lower limb following unspecified cerebrovascular disease affecting left non-dominant side
I69.951 Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting right dominant side
I69.952 Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting left dominant side
I69.953 Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting right non-dominant side
I69.954 Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting left non-dominant side
J38.5 Laryngeal spasm
K11.7 Disturbances of salivary secretion
K22.0 Achalasia of cardia
K60.1 Chronic anal fissure
L74.510 Primary focal hyperhidrosis, axilla
N31.9* Neuromuscular dysfunction of bladder, unspecified
N32.81 Overactive bladder
N39.41* Urge incontinence
N39.46* Mixed incontinence
Group 2 Medical Necessity ICD-10-CM Codes Asterisk Explanation

*Report ICD-10 code N31.9 for neurogenic bladder dysfunction NOS. Also, use additional ICD-10 code N39.3, N39.41 or N39.46 to identify any associated urinary incontinence.

*When reporting ICD-10 codes N39.41 or N39.46, use ICD-10 code N32.81 to report any associated overactive bladder.

 

Group 3

(1,133 Codes)
Group 3 Paragraph


It is the provider’s responsibility to select codes carried out to the highest level of specificity and selected from the ICD-10-CM code book appropriate to the year in which the service is rendered for the claim(s) submitted.

The following ICD-10-CM codes support medical necessity and provide coverage for CPT codes: 95860, 95861, 95863, 95864, 95867, 95868, 95869, 95870, 95885, 95886, 95887, 95907, 95908, 95909, 95910, 95911, 95912 and 95913.

 

Group 3 Codes
Code Description
A05.1 Botulism food poisoning
A17.83 Tuberculous neuritis
A17.89 Other tuberculosis of nervous system
A35 Other tetanus
A36.83 Diphtheritic polyneuritis
A39.82 Meningococcal retrobulbar neuritis
A48.51 Infant botulism
A48.52 Wound botulism
A50.43 Late congenital syphilitic polyneuropathy
A50.44 Late congenital syphilitic optic nerve atrophy
A52.15 Late syphilitic neuropathy
A69.22 Other neurologic disorders in Lyme disease
B02.21 Postherpetic geniculate ganglionitis
B02.22 Postherpetic trigeminal neuralgia
B02.23 Postherpetic polyneuropathy
B26.84 Mumps polyneuropathy
B27.01 Gammaherpesviral mononucleosis with polyneuropathy
B27.11 Cytomegaloviral mononucleosis with polyneuropathy
B27.81 Other infectious mononucleosis with polyneuropathy
B91 Sequelae of poliomyelitis
C70.1 Malignant neoplasm of spinal meninges
C72.0 Malignant neoplasm of spinal cord
C72.1 Malignant neoplasm of cauda equina
C72.21 Malignant neoplasm of right olfactory nerve
C72.22 Malignant neoplasm of left olfactory nerve
C72.31 Malignant neoplasm of right optic nerve
C72.32 Malignant neoplasm of left optic nerve
C72.41 Malignant neoplasm of right acoustic nerve
C72.42 Malignant neoplasm of left acoustic nerve
C72.59 Malignant neoplasm of other cranial nerves
D32.1 Benign neoplasm of spinal meninges
D33.3 Benign neoplasm of cranial nerves
D33.4 Benign neoplasm of spinal cord
D86.82 Multiple cranial nerve palsies in sarcoidosis
E08.41 Diabetes mellitus due to underlying condition with diabetic mononeuropathy
E08.42 Diabetes mellitus due to underlying condition with diabetic polyneuropathy
E08.44 Diabetes mellitus due to underlying condition with diabetic amyotrophy
E08.49 Diabetes mellitus due to underlying condition with other diabetic neurological complication
E08.610 Diabetes mellitus due to underlying condition with diabetic neuropathic arthropathy
E09.41 Drug or chemical induced diabetes mellitus with neurological complications with diabetic mononeuropathy
E09.42 Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy
E09.44 Drug or chemical induced diabetes mellitus with neurological complications with diabetic amyotrophy
E09.49 Drug or chemical induced diabetes mellitus with neurological complications with other diabetic neurological complication
E09.610 Drug or chemical induced diabetes mellitus with diabetic neuropathic arthropathy
E10.41 Type 1 diabetes mellitus with diabetic mononeuropathy
E10.42 Type 1 diabetes mellitus with diabetic polyneuropathy
E10.44 Type 1 diabetes mellitus with diabetic amyotrophy
E10.49 Type 1 diabetes mellitus with other diabetic neurological complication
E10.610 Type 1 diabetes mellitus with diabetic neuropathic arthropathy
E11.41 Type 2 diabetes mellitus with diabetic mononeuropathy
E11.42 Type 2 diabetes mellitus with diabetic polyneuropathy
E11.44 Type 2 diabetes mellitus with diabetic amyotrophy
E11.49 Type 2 diabetes mellitus with other diabetic neurological complication
E11.610 Type 2 diabetes mellitus with diabetic neuropathic arthropathy
E13.41 Other specified diabetes mellitus with diabetic mononeuropathy
E13.42 Other specified diabetes mellitus with diabetic polyneuropathy
E13.44 Other specified diabetes mellitus with diabetic amyotrophy
E13.49 Other specified diabetes mellitus with other diabetic neurological complication
E13.610 Other specified diabetes mellitus with diabetic neuropathic arthropathy
E51.11 Dry beriberi
E53.1 Pyridoxine deficiency
E53.8 Deficiency of other specified B group vitamins
E56.0 Deficiency of vitamin E
E64.8 Sequelae of other nutritional deficiencies
E71.314 Muscle carnitine palmitoyltransferase deficiency
E71.41 Primary carnitine deficiency
E71.42 Carnitine deficiency due to inborn errors of metabolism
E71.43 Iatrogenic carnitine deficiency
E71.440 Ruvalcaba-Myhre-Smith syndrome
E71.448 Other secondary carnitine deficiency
E74.02 Pompe disease
E74.03 Cori disease
E74.04 McArdle disease
E74.05 Lysosome-associated membrane protein 2 [LAMP2] deficiency
E74.09 Other glycogen storage disease
E79.2 Myoadenylate deaminase deficiency
E85.1 Neuropathic heredofamilial amyloidosis
G12.0 Infantile spinal muscular atrophy, type I [Werdnig-Hoffman]
G12.1* Other inherited spinal muscular atrophy
G12.20 Motor neuron disease, unspecified
G12.21 Amyotrophic lateral sclerosis
G12.22 Progressive bulbar palsy
G12.23 Primary lateral sclerosis
G12.24 Familial motor neuron disease
G12.25 Progressive spinal muscle atrophy
G12.29* Other motor neuron disease
G12.8 Other spinal muscular atrophies and related syndromes
G12.9 Spinal muscular atrophy, unspecified
G13.0 Paraneoplastic neuromyopathy and neuropathy
G14 Postpolio syndrome
G32.0 Subacute combined degeneration of spinal cord in diseases classified elsewhere
G37.3 Acute transverse myelitis in demyelinating disease of central nervous system
G50.0 Trigeminal neuralgia
G50.1 Atypical facial pain
G50.8 Other disorders of trigeminal nerve
G51.1 Geniculate ganglionitis
G51.8 Other disorders of facial nerve
G52.0 Disorders of olfactory nerve
G52.1 Disorders of glossopharyngeal nerve
G52.2 Disorders of vagus nerve
G52.3 Disorders of hypoglossal nerve
G52.7 Disorders of multiple cranial nerves
G52.8 Disorders of other specified cranial nerves
G52.9 Cranial nerve disorder, unspecified
G53 Cranial nerve disorders in diseases classified elsewhere
G54.0 Brachial plexus disorders
G54.1 Lumbosacral plexus disorders
G54.2 Cervical root disorders, not elsewhere classified
G54.3 Thoracic root disorders, not elsewhere classified
G54.4 Lumbosacral root disorders, not elsewhere classified
G54.5 Neuralgic amyotrophy
G54.6 Phantom limb syndrome with pain
G54.7 Phantom limb syndrome without pain
G54.8 Other nerve root and plexus disorders
G54.9 Nerve root and plexus disorder, unspecified
G55 Nerve root and plexus compressions in diseases classified elsewhere
G56.01 Carpal tunnel syndrome, right upper limb
G56.02 Carpal tunnel syndrome, left upper limb
G56.03 Carpal tunnel syndrome, bilateral upper limbs
G56.11 Other lesions of median nerve, right upper limb
G56.12 Other lesions of median nerve, left upper limb
G56.13 Other lesions of median nerve, bilateral upper limbs
G56.21 Lesion of ulnar nerve, right upper limb
G56.22 Lesion of ulnar nerve, left upper limb
G56.23 Lesion of ulnar nerve, bilateral upper limbs
G56.31 Lesion of radial nerve, right upper limb
G56.32 Lesion of radial nerve, left upper limb
G56.33 Lesion of radial nerve, bilateral upper limbs
G56.41 Causalgia of right upper limb
G56.42 Causalgia of left upper limb
G56.43 Causalgia of bilateral upper limbs
G56.81 Other specified mononeuropathies of right upper limb
G56.82 Other specified mononeuropathies of left upper limb
G56.83 Other specified mononeuropathies of bilateral upper limbs
G56.91 Unspecified mononeuropathy of right upper limb
G56.92 Unspecified mononeuropathy of left upper limb
G56.93 Unspecified mononeuropathy of bilateral upper limbs
G57.01 Lesion of sciatic nerve, right lower limb
G57.02 Lesion of sciatic nerve, left lower limb
G57.03 Lesion of sciatic nerve, bilateral lower limbs
G57.11 Meralgia paresthetica, right lower limb
G57.12 Meralgia paresthetica, left lower limb
G57.13 Meralgia paresthetica, bilateral lower limbs
G57.21 Lesion of femoral nerve, right lower limb
G57.22 Lesion of femoral nerve, left lower limb
G57.23 Lesion of femoral nerve, bilateral lower limbs
G57.31 Lesion of lateral popliteal nerve, right lower limb
G57.32 Lesion of lateral popliteal nerve, left lower limb
G57.33 Lesion of lateral popliteal nerve, bilateral lower limbs
G57.41 Lesion of medial popliteal nerve, right lower limb
G57.42 Lesion of medial popliteal nerve, left lower limb
G57.43 Lesion of medial popliteal nerve, bilateral lower limbs
G57.51 Tarsal tunnel syndrome, right lower limb
G57.52 Tarsal tunnel syndrome, left lower limb
G57.53 Tarsal tunnel syndrome, bilateral lower limbs
G57.61 Lesion of plantar nerve, right lower limb
G57.62 Lesion of plantar nerve, left lower limb
G57.63 Lesion of plantar nerve, bilateral lower limbs
G57.81 Other specified mononeuropathies of right lower limb
G57.82 Other specified mononeuropathies of left lower limb
G57.83 Other specified mononeuropathies of bilateral lower limbs
G57.91 Unspecified mononeuropathy of right lower limb
G57.92 Unspecified mononeuropathy of left lower limb
G57.93 Unspecified mononeuropathy of bilateral lower limbs
G58.0 Intercostal neuropathy
G58.7 Mononeuritis multiplex
G58.8 Other specified mononeuropathies
G58.9 Mononeuropathy, unspecified
G59 Mononeuropathy in diseases classified elsewhere
G60.0 Hereditary motor and sensory neuropathy
G60.1 Refsum's disease
G60.2 Neuropathy in association with hereditary ataxia
G60.3 Idiopathic progressive neuropathy
G60.8 Other hereditary and idiopathic neuropathies
G60.9 Hereditary and idiopathic neuropathy, unspecified
G61.0 Guillain-Barre syndrome
G61.1 Serum neuropathy
G61.81 Chronic inflammatory demyelinating polyneuritis
G61.82 Multifocal motor neuropathy
G61.89 Other inflammatory polyneuropathies
G62.0 Drug-induced polyneuropathy
G62.1 Alcoholic polyneuropathy
G62.2 Polyneuropathy due to other toxic agents
G62.81 Critical illness polyneuropathy
G62.82 Radiation-induced polyneuropathy
G62.89 Other specified polyneuropathies
G63 Polyneuropathy in diseases classified elsewhere
G64 Other disorders of peripheral nervous system
G65.0 Sequelae of Guillain-Barre syndrome
G65.1 Sequelae of other inflammatory polyneuropathy
G65.2 Sequelae of toxic polyneuropathy
G70.00 Myasthenia gravis without (acute) exacerbation
G70.01 Myasthenia gravis with (acute) exacerbation
G70.1 Toxic myoneural disorders
G70.2 Congenital and developmental myasthenia
G70.80 Lambert-Eaton syndrome, unspecified
G70.81 Lambert-Eaton syndrome in disease classified elsewhere
G70.89 Other specified myoneural disorders
G70.9 Myoneural disorder, unspecified
G71.00 Muscular dystrophy, unspecified
G71.01 Duchenne or Becker muscular dystrophy
G71.02 Facioscapulohumeral muscular dystrophy
G71.031 Autosomal dominant limb girdle muscular dystrophy
G71.032 Autosomal recessive limb girdle muscular dystrophy due to calpain-3 dysfunction
G71.033 Limb girdle muscular dystrophy due to dysferlin dysfunction
G71.0341 Limb girdle muscular dystrophy due to alpha sarcoglycan dysfunction
G71.0342 Limb girdle muscular dystrophy due to beta sarcoglycan dysfunction
G71.0349 Limb girdle muscular dystrophy due to other sarcoglycan dysfunction
G71.035 Limb girdle muscular dystrophy due to anoctamin-5 dysfunction
G71.038 Other limb girdle muscular dystrophy
G71.09 Other specified muscular dystrophies
G71.11 Myotonic muscular dystrophy
G71.12 Myotonia congenita
G71.13 Myotonic chondrodystrophy
G71.14 Drug induced myotonia
G71.19 Other specified myotonic disorders
G71.20 Congenital myopathy, unspecified
G71.21 Nemaline myopathy
G71.220 X-linked myotubular myopathy
G71.228 Other centronuclear myopathy
G71.29 Other congenital myopathy
G71.3 Mitochondrial myopathy, not elsewhere classified
G71.8 Other primary disorders of muscles
G71.9 Primary disorder of muscle, unspecified
G72.0 Drug-induced myopathy
G72.1 Alcoholic myopathy
G72.2 Myopathy due to other toxic agents
G72.3 Periodic paralysis
G72.41 Inclusion body myositis [IBM]
G72.49 Other inflammatory and immune myopathies, not elsewhere classified
G72.81 Critical illness myopathy
G72.89 Other specified myopathies
G72.9 Myopathy, unspecified
G73.1 Lambert-Eaton syndrome in neoplastic disease
G73.3 Myasthenic syndromes in other diseases classified elsewhere
G73.7 Myopathy in diseases classified elsewhere
G82.21 Paraplegia, complete
G82.22 Paraplegia, incomplete
G82.51 Quadriplegia, C1-C4 complete
G82.52 Quadriplegia, C1-C4 incomplete
G82.53 Quadriplegia, C5-C7 complete
G82.54 Quadriplegia, C5-C7 incomplete
G83.0 Diplegia of upper limbs
G83.11 Monoplegia of lower limb affecting right dominant side
G83.12 Monoplegia of lower limb affecting left dominant side
G83.13 Monoplegia of lower limb affecting right nondominant side
G83.14 Monoplegia of lower limb affecting left nondominant side
G83.21 Monoplegia of upper limb affecting right dominant side
G83.22 Monoplegia of upper limb affecting left dominant side
G83.23 Monoplegia of upper limb affecting right nondominant side
G83.24 Monoplegia of upper limb affecting left nondominant side
G83.4 Cauda equina syndrome
G83.5 Locked-in state
G83.81 Brown-Sequard syndrome
G83.82 Anterior cord syndrome
G83.83 Posterior cord syndrome
G83.89 Other specified paralytic syndromes
G95.0 Syringomyelia and syringobulbia
G95.11 Acute infarction of spinal cord (embolic) (nonembolic)
G95.19 Other vascular myelopathies
G95.20 Unspecified cord compression
G95.29 Other cord compression
G95.81 Conus medullaris syndrome
G95.89 Other specified diseases of spinal cord
G99.2 Myelopathy in diseases classified elsewhere
H02.401 Unspecified ptosis of right eyelid
H02.402 Unspecified ptosis of left eyelid
H02.403 Unspecified ptosis of bilateral eyelids
H02.421 Myogenic ptosis of right eyelid
H02.422 Myogenic ptosis of left eyelid
H02.423 Myogenic ptosis of bilateral eyelids
H05.821 Myopathy of extraocular muscles, right orbit
H05.822 Myopathy of extraocular muscles, left orbit
H05.823 Myopathy of extraocular muscles, bilateral
H49.01 Third [oculomotor] nerve palsy, right eye
H49.02 Third [oculomotor] nerve palsy, left eye
H49.03 Third [oculomotor] nerve palsy, bilateral
H49.11 Fourth [trochlear] nerve palsy, right eye
H49.12 Fourth [trochlear] nerve palsy, left eye
H49.13 Fourth [trochlear] nerve palsy, bilateral
H49.21 Sixth [abducent] nerve palsy, right eye
H49.22 Sixth [abducent] nerve palsy, left eye
H49.23 Sixth [abducent] nerve palsy, bilateral
H49.31 Total (external) ophthalmoplegia, right eye
H49.32 Total (external) ophthalmoplegia, left eye
H49.33 Total (external) ophthalmoplegia, bilateral
H49.41 Progressive external ophthalmoplegia, right eye
H49.42 Progressive external ophthalmoplegia, left eye
H49.43 Progressive external ophthalmoplegia, bilateral
H49.881 Other paralytic strabismus, right eye
H49.882 Other paralytic strabismus, left eye
H49.883 Other paralytic strabismus, bilateral
H53.2 Diplopia
H53.8* Other visual disturbances
M05.411 Rheumatoid myopathy with rheumatoid arthritis of right shoulder
M05.412 Rheumatoid myopathy with rheumatoid arthritis of left shoulder
M05.421 Rheumatoid myopathy with rheumatoid arthritis of right elbow
M05.422 Rheumatoid myopathy with rheumatoid arthritis of left elbow
M05.431 Rheumatoid myopathy with rheumatoid arthritis of right wrist
M05.432 Rheumatoid myopathy with rheumatoid arthritis of left wrist
M05.441 Rheumatoid myopathy with rheumatoid arthritis of right hand
M05.442 Rheumatoid myopathy with rheumatoid arthritis of left hand
M05.451 Rheumatoid myopathy with rheumatoid arthritis of right hip
M05.452 Rheumatoid myopathy with rheumatoid arthritis of left hip
M05.461 Rheumatoid myopathy with rheumatoid arthritis of right knee
M05.462 Rheumatoid myopathy with rheumatoid arthritis of left knee
M05.471 Rheumatoid myopathy with rheumatoid arthritis of right ankle and foot
M05.472 Rheumatoid myopathy with rheumatoid arthritis of left ankle and foot
M05.49 Rheumatoid myopathy with rheumatoid arthritis of multiple sites
M05.511 Rheumatoid polyneuropathy with rheumatoid arthritis of right shoulder
M05.512 Rheumatoid polyneuropathy with rheumatoid arthritis of left shoulder
M05.521 Rheumatoid polyneuropathy with rheumatoid arthritis of right elbow
M05.522 Rheumatoid polyneuropathy with rheumatoid arthritis of left elbow
M05.531 Rheumatoid polyneuropathy with rheumatoid arthritis of right wrist
M05.532 Rheumatoid polyneuropathy with rheumatoid arthritis of left wrist
M05.541 Rheumatoid polyneuropathy with rheumatoid arthritis of right hand
M05.542 Rheumatoid polyneuropathy with rheumatoid arthritis of left hand
M05.551 Rheumatoid polyneuropathy with rheumatoid arthritis of right hip
M05.552 Rheumatoid polyneuropathy with rheumatoid arthritis of left hip
M05.561 Rheumatoid polyneuropathy with rheumatoid arthritis of right knee
M05.562 Rheumatoid polyneuropathy with rheumatoid arthritis of left knee
M05.571 Rheumatoid polyneuropathy with rheumatoid arthritis of right ankle and foot
M05.572 Rheumatoid polyneuropathy with rheumatoid arthritis of left ankle and foot
M05.59 Rheumatoid polyneuropathy with rheumatoid arthritis of multiple sites
M21.331 Wrist drop, right wrist
M21.332 Wrist drop, left wrist
M21.371 Foot drop, right foot
M21.372 Foot drop, left foot
M33.02 Juvenile dermatomyositis with myopathy
M33.12 Other dermatomyositis with myopathy
M33.22 Polymyositis with myopathy
M34.82 Systemic sclerosis with myopathy
M35.03 Sjogren syndrome with myopathy
M36.0 Dermato(poly)myositis in neoplastic disease
M43.3 Recurrent atlantoaxial dislocation with myelopathy
M47.11 Other spondylosis with myelopathy, occipito-atlanto-axial region
M47.12 Other spondylosis with myelopathy, cervical region
M47.13 Other spondylosis with myelopathy, cervicothoracic region
M47.14 Other spondylosis with myelopathy, thoracic region
M47.15 Other spondylosis with myelopathy, thoracolumbar region
M47.16 Other spondylosis with myelopathy, lumbar region
M47.21 Other spondylosis with radiculopathy, occipito-atlanto-axial region
M47.22 Other spondylosis with radiculopathy, cervical region
M47.23 Other spondylosis with radiculopathy, cervicothoracic region
M47.24 Other spondylosis with radiculopathy, thoracic region
M47.25 Other spondylosis with radiculopathy, thoracolumbar region
M47.26 Other spondylosis with radiculopathy, lumbar region
M47.27 Other spondylosis with radiculopathy, lumbosacral region
M47.28 Other spondylosis with radiculopathy, sacral and sacrococcygeal region
M48.01 Spinal stenosis, occipito-atlanto-axial region
M48.02 Spinal stenosis, cervical region
M48.03 Spinal stenosis, cervicothoracic region
M48.04 Spinal stenosis, thoracic region
M48.05 Spinal stenosis, thoracolumbar region
M48.061 Spinal stenosis, lumbar region without neurogenic claudication
M48.062 Spinal stenosis, lumbar region with neurogenic claudication
M48.07 Spinal stenosis, lumbosacral region
M48.08 Spinal stenosis, sacral and sacrococcygeal region
M50.01 Cervical disc disorder with myelopathy, high cervical region
M50.021 Cervical disc disorder at C4-C5 level with myelopathy
M50.022 Cervical disc disorder at C5-C6 level with myelopathy
M50.023 Cervical disc disorder at C6-C7 level with myelopathy
M50.03 Cervical disc disorder with myelopathy, cervicothoracic region
M50.11 Cervical disc disorder with radiculopathy, high cervical region
M50.121 Cervical disc disorder at C4-C5 level with radiculopathy
M50.122 Cervical disc disorder at C5-C6 level with radiculopathy
M50.123 Cervical disc disorder at C6-C7 level with radiculopathy
M50.13 Cervical disc disorder with radiculopathy, cervicothoracic region
M51.04 Intervertebral disc disorders with myelopathy, thoracic region
M51.05 Intervertebral disc disorders with myelopathy, thoracolumbar region
M51.06 Intervertebral disc disorders with myelopathy, lumbar region
M51.14 Intervertebral disc disorders with radiculopathy, thoracic region
M51.15 Intervertebral disc disorders with radiculopathy, thoracolumbar region
M51.16 Intervertebral disc disorders with radiculopathy, lumbar region
M51.17 Intervertebral disc disorders with radiculopathy, lumbosacral region
M53.0 Cervicocranial syndrome
M53.1 Cervicobrachial syndrome
M53.82 Other specified dorsopathies, cervical region
M54.11 Radiculopathy, occipito-atlanto-axial region
M54.12 Radiculopathy, cervical region
M54.13 Radiculopathy, cervicothoracic region
M54.14 Radiculopathy, thoracic region
M54.15 Radiculopathy, thoracolumbar region
M54.16 Radiculopathy, lumbar region
M54.17 Radiculopathy, lumbosacral region
M54.18 Radiculopathy, sacral and sacrococcygeal region
M54.31 Sciatica, right side
M54.32 Sciatica, left side
M54.41 Lumbago with sciatica, right side
M54.42 Lumbago with sciatica, left side
M54.81 Occipital neuralgia
M60.011 Infective myositis, right shoulder
M60.012 Infective myositis, left shoulder
M60.021 Infective myositis, right upper arm
M60.022 Infective myositis, left upper arm
M60.031 Infective myositis, right forearm
M60.032 Infective myositis, left forearm
M60.041 Infective myositis, right hand
M60.042 Infective myositis, left hand
M60.044 Infective myositis, right finger(s)
M60.045 Infective myositis, left finger(s)
M60.051 Infective myositis, right thigh
M60.052 Infective myositis, left thigh
M60.061 Infective myositis, right lower leg
M60.062 Infective myositis, left lower leg
M60.070 Infective myositis, right ankle
M60.071 Infective myositis, left ankle
M60.073 Infective myositis, right foot
M60.074 Infective myositis, left foot
M60.076 Infective myositis, right toe(s)
M60.077 Infective myositis, left toe(s)
M60.08 Infective myositis, other site
M60.09 Infective myositis, multiple sites
M60.111 Interstitial myositis, right shoulder
M60.112 Interstitial myositis, left shoulder
M60.121 Interstitial myositis, right upper arm
M60.122 Interstitial myositis, left upper arm
M60.131 Interstitial myositis, right forearm
M60.132 Interstitial myositis, left forearm
M60.141 Interstitial myositis, right hand
M60.142 Interstitial myositis, left hand
M60.151 Interstitial myositis, right thigh
M60.152 Interstitial myositis, left thigh
M60.161 Interstitial myositis, right lower leg
M60.162 Interstitial myositis, left lower leg
M60.171 Interstitial myositis, right ankle and foot
M60.172 Interstitial myositis, left ankle and foot
M60.18 Interstitial myositis, other site
M60.19 Interstitial myositis, multiple sites
M60.811 Other myositis, right shoulder
M60.812 Other myositis, left shoulder
M60.821 Other myositis, right upper arm
M60.822 Other myositis, left upper arm
M60.831 Other myositis, right forearm
M60.832 Other myositis, left forearm
M60.841 Other myositis, right hand
M60.842 Other myositis, left hand
M60.851 Other myositis, right thigh
M60.852 Other myositis, left thigh
M60.861 Other myositis, right lower leg
M60.862 Other myositis, left lower leg
M60.871 Other myositis, right ankle and foot
M60.872 Other myositis, left ankle and foot
M60.88 Other myositis, other site
M60.89 Other myositis, multiple sites
M62.511 Muscle wasting and atrophy, not elsewhere classified, right shoulder
M62.512 Muscle wasting and atrophy, not elsewhere classified, left shoulder
M62.521 Muscle wasting and atrophy, not elsewhere classified, right upper arm
M62.522 Muscle wasting and atrophy, not elsewhere classified, left upper arm
M62.531 Muscle wasting and atrophy, not elsewhere classified, right forearm
M62.532 Muscle wasting and atrophy, not elsewhere classified, left forearm
M62.541 Muscle wasting and atrophy, not elsewhere classified, right hand
M62.542 Muscle wasting and atrophy, not elsewhere classified, left hand
M62.551 Muscle wasting and atrophy, not elsewhere classified, right thigh
M62.552 Muscle wasting and atrophy, not elsewhere classified, left thigh
M62.561 Muscle wasting and atrophy, not elsewhere classified, right lower leg
M62.562 Muscle wasting and atrophy, not elsewhere classified, left lower leg
M62.571 Muscle wasting and atrophy, not elsewhere classified, right ankle and foot
M62.572 Muscle wasting and atrophy, not elsewhere classified, left ankle and foot
M62.58 Muscle wasting and atrophy, not elsewhere classified, other site
M62.59 Muscle wasting and atrophy, not elsewhere classified, multiple sites
M62.5A0 Muscle wasting and atrophy, not elsewhere classified, back, cervical
M62.5A1 Muscle wasting and atrophy, not elsewhere classified, back, thoracic
M62.5A2 Muscle wasting and atrophy, not elsewhere classified, back, lumbosacral
M62.81 Muscle weakness (generalized)
M62.82 Rhabdomyolysis
M62.830 Muscle spasm of back
M62.831 Muscle spasm of calf
M62.838 Other muscle spasm
M63.811 Disorders of muscle in diseases classified elsewhere, right shoulder
M63.812 Disorders of muscle in diseases classified elsewhere, left shoulder
M63.821 Disorders of muscle in diseases classified elsewhere, right upper arm
M63.822 Disorders of muscle in diseases classified elsewhere, left upper arm
M63.831 Disorders of muscle in diseases classified elsewhere, right forearm
M63.832 Disorders of muscle in diseases classified elsewhere, left forearm
M63.841 Disorders of muscle in diseases classified elsewhere, right hand
M63.842 Disorders of muscle in diseases classified elsewhere, left hand
M63.851 Disorders of muscle in diseases classified elsewhere, right thigh
M63.852 Disorders of muscle in diseases classified elsewhere, left thigh
M63.861 Disorders of muscle in diseases classified elsewhere, right lower leg
M63.862 Disorders of muscle in diseases classified elsewhere, left lower leg
M63.871 Disorders of muscle in diseases classified elsewhere, right ankle and foot
M63.872 Disorders of muscle in diseases classified elsewhere, left ankle and foot
M63.88 Disorders of muscle in diseases classified elsewhere, other site
M63.89 Disorders of muscle in diseases classified elsewhere, multiple sites
M79.11 Myalgia of mastication muscle
M79.12 Myalgia of auxiliary muscles, head and neck
M79.18 Myalgia, other site
M79.621 Pain in right upper arm
M79.622 Pain in left upper arm
M79.631 Pain in right forearm
M79.632 Pain in left forearm
M79.641 Pain in right hand
M79.642 Pain in left hand
M79.644 Pain in right finger(s)
M79.645 Pain in left finger(s)
M79.651 Pain in right thigh
M79.652 Pain in left thigh
M79.661 Pain in right lower leg
M79.662 Pain in left lower leg
M79.671 Pain in right foot
M79.672 Pain in left foot
M79.674 Pain in right toe(s)
M79.675 Pain in left toe(s)
M99.20 Subluxation stenosis of neural canal of head region
M99.21 Subluxation stenosis of neural canal of cervical region
M99.22 Subluxation stenosis of neural canal of thoracic region
M99.23 Subluxation stenosis of neural canal of lumbar region
M99.24 Subluxation stenosis of neural canal of sacral region
M99.25 Subluxation stenosis of neural canal of pelvic region
M99.26 Subluxation stenosis of neural canal of lower extremity
M99.27 Subluxation stenosis of neural canal of upper extremity
M99.28 Subluxation stenosis of neural canal of rib cage
M99.29 Subluxation stenosis of neural canal of abdomen and other regions
M99.30 Osseous stenosis of neural canal of head region
M99.31 Osseous stenosis of neural canal of cervical region
M99.32 Osseous stenosis of neural canal of thoracic region
M99.33 Osseous stenosis of neural canal of lumbar region
M99.34 Osseous stenosis of neural canal of sacral region
M99.35 Osseous stenosis of neural canal of pelvic region
M99.36 Osseous stenosis of neural canal of lower extremity
M99.37 Osseous stenosis of neural canal of upper extremity
M99.38 Osseous stenosis of neural canal of rib cage
M99.39 Osseous stenosis of neural canal of abdomen and other regions
M99.40 Connective tissue stenosis of neural canal of head region
M99.41 Connective tissue stenosis of neural canal of cervical region
M99.42 Connective tissue stenosis of neural canal of thoracic region
M99.43 Connective tissue stenosis of neural canal of lumbar region
M99.44 Connective tissue stenosis of neural canal of sacral region
M99.45 Connective tissue stenosis of neural canal of pelvic region
M99.46 Connective tissue stenosis of neural canal of lower extremity
M99.47 Connective tissue stenosis of neural canal of upper extremity
M99.48 Connective tissue stenosis of neural canal of rib cage
M99.49 Connective tissue stenosis of neural canal of abdomen and other regions
M99.50 Intervertebral disc stenosis of neural canal of head region
M99.51 Intervertebral disc stenosis of neural canal of cervical region
M99.52 Intervertebral disc stenosis of neural canal of thoracic region
M99.53 Intervertebral disc stenosis of neural canal of lumbar region
M99.54 Intervertebral disc stenosis of neural canal of sacral region
M99.55 Intervertebral disc stenosis of neural canal of pelvic region
M99.56 Intervertebral disc stenosis of neural canal of lower extremity
M99.57 Intervertebral disc stenosis of neural canal of upper extremity
M99.58 Intervertebral disc stenosis of neural canal of rib cage
M99.59 Intervertebral disc stenosis of neural canal of abdomen and other regions
M99.60 Osseous and subluxation stenosis of intervertebral foramina of head region
M99.61 Osseous and subluxation stenosis of intervertebral foramina of cervical region
M99.62 Osseous and subluxation stenosis of intervertebral foramina of thoracic region
M99.63 Osseous and subluxation stenosis of intervertebral foramina of lumbar region
M99.64 Osseous and subluxation stenosis of intervertebral foramina of sacral region
M99.65 Osseous and subluxation stenosis of intervertebral foramina of pelvic region
M99.66 Osseous and subluxation stenosis of intervertebral foramina of lower extremity
M99.67 Osseous and subluxation stenosis of intervertebral foramina of upper extremity
M99.68 Osseous and subluxation stenosis of intervertebral foramina of rib cage
M99.69 Osseous and subluxation stenosis of intervertebral foramina of abdomen and other regions
M99.70 Connective tissue and disc stenosis of intervertebral foramina of head region
M99.71 Connective tissue and disc stenosis of intervertebral foramina of cervical region
M99.72 Connective tissue and disc stenosis of intervertebral foramina of thoracic region
M99.73 Connective tissue and disc stenosis of intervertebral foramina of lumbar region
M99.74 Connective tissue and disc stenosis of intervertebral foramina of sacral region
M99.75 Connective tissue and disc stenosis of intervertebral foramina of pelvic region
M99.76 Connective tissue and disc stenosis of intervertebral foramina of lower extremity
M99.77 Connective tissue and disc stenosis of intervertebral foramina of upper extremity
M99.78 Connective tissue and disc stenosis of intervertebral foramina of rib cage
M99.79 Connective tissue and disc stenosis of intervertebral foramina of abdomen and other regions
Q05.0 Cervical spina bifida with hydrocephalus
Q05.1 Thoracic spina bifida with hydrocephalus
Q05.2 Lumbar spina bifida with hydrocephalus
Q05.3 Sacral spina bifida with hydrocephalus
Q05.5 Cervical spina bifida without hydrocephalus
Q05.6 Thoracic spina bifida without hydrocephalus
Q05.7 Lumbar spina bifida without hydrocephalus
Q05.8 Sacral spina bifida without hydrocephalus
Q06.1 Hypoplasia and dysplasia of spinal cord
Q06.2 Diastematomyelia
Q06.3 Other congenital cauda equina malformations
Q06.4 Hydromyelia
Q06.8 Other specified congenital malformations of spinal cord
Q07.00 Arnold-Chiari syndrome without spina bifida or hydrocephalus
Q07.01 Arnold-Chiari syndrome with spina bifida
Q07.02 Arnold-Chiari syndrome with hydrocephalus
Q07.03 Arnold-Chiari syndrome with spina bifida and hydrocephalus
R06.02 Shortness of breath
R13.11 Dysphagia, oral phase
R13.12 Dysphagia, oropharyngeal phase
R13.13 Dysphagia, pharyngeal phase
R13.14 Dysphagia, pharyngoesophageal phase
R13.19 Other dysphagia
R20.0 Anesthesia of skin
R20.1 Hypoesthesia of skin
R20.2 Paresthesia of skin
R20.3 Hyperesthesia
R20.8 Other disturbances of skin sensation
R25.0 Abnormal head movements
R25.1 Tremor, unspecified
R25.2 Cramp and spasm
R25.3 Fasciculation
R26.0 Ataxic gait
R26.1 Paralytic gait
R26.81 Unsteadiness on feet
R26.89 Other abnormalities of gait and mobility
R27.8 Other lack of coordination
R29.2 Abnormal reflex
R29.5 Transient paralysis
R29.6 Repeated falls
R29.810* Facial weakness
R29.818 Other symptoms and signs involving the nervous system
R43.0 Anosmia
R43.1 Parosmia
R43.2 Parageusia
R43.8 Other disturbances of smell and taste
R47.02 Dysphasia
R47.1 Dysarthria and anarthria
R47.81 Slurred speech
R47.82 Fluency disorder in conditions classified elsewhere
R47.89 Other speech disturbances
R53.83 Other fatigue
R63.39* Other feeding difficulties
S04.011A Injury of optic nerve, right eye, initial encounter
S04.011D Injury of optic nerve, right eye, subsequent encounter
S04.011S Injury of optic nerve, right eye, sequela
S04.012A Injury of optic nerve, left eye, initial encounter
S04.012D Injury of optic nerve, left eye, subsequent encounter
S04.012S Injury of optic nerve, left eye, sequela
S04.11XA Injury of oculomotor nerve, right side, initial encounter
S04.11XD Injury of oculomotor nerve, right side, subsequent encounter
S04.11XS Injury of oculomotor nerve, right side, sequela
S04.12XA Injury of oculomotor nerve, left side, initial encounter
S04.12XD Injury of oculomotor nerve, left side, subsequent encounter
S04.12XS Injury of oculomotor nerve, left side, sequela
S04.21XA Injury of trochlear nerve, right side, initial encounter
S04.21XD Injury of trochlear nerve, right side, subsequent encounter
S04.21XS Injury of trochlear nerve, right side, sequela
S04.22XA Injury of trochlear nerve, left side, initial encounter
S04.22XD Injury of trochlear nerve, left side, subsequent encounter
S04.22XS Injury of trochlear nerve, left side, sequela
S04.31XA Injury of trigeminal nerve, right side, initial encounter
S04.31XD Injury of trigeminal nerve, right side, subsequent encounter
S04.31XS Injury of trigeminal nerve, right side, sequela
S04.32XA Injury of trigeminal nerve, left side, initial encounter
S04.32XD Injury of trigeminal nerve, left side, subsequent encounter
S04.32XS Injury of trigeminal nerve, left side, sequela
S04.41XA Injury of abducent nerve, right side, initial encounter
S04.41XD Injury of abducent nerve, right side, subsequent encounter
S04.41XS Injury of abducent nerve, right side, sequela
S04.42XA Injury of abducent nerve, left side, initial encounter
S04.42XD Injury of abducent nerve, left side, subsequent encounter
S04.42XS Injury of abducent nerve, left side, sequela
S04.51XA Injury of facial nerve, right side, initial encounter
S04.51XD Injury of facial nerve, right side, subsequent encounter
S04.51XS Injury of facial nerve, right side, sequela
S04.52XA Injury of facial nerve, left side, initial encounter
S04.52XD Injury of facial nerve, left side, subsequent encounter
S04.52XS Injury of facial nerve, left side, sequela
S04.61XA Injury of acoustic nerve, right side, initial encounter
S04.61XD Injury of acoustic nerve, right side, subsequent encounter
S04.61XS Injury of acoustic nerve, right side, sequela
S04.62XA Injury of acoustic nerve, left side, initial encounter
S04.62XD Injury of acoustic nerve, left side, subsequent encounter
S04.62XS Injury of acoustic nerve, left side, sequela
S04.71XA Injury of accessory nerve, right side, initial encounter
S04.71XD Injury of accessory nerve, right side, subsequent encounter
S04.71XS Injury of accessory nerve, right side, sequela
S04.72XA Injury of accessory nerve, left side, initial encounter
S04.72XD Injury of accessory nerve, left side, subsequent encounter
S04.72XS Injury of accessory nerve, left side, sequela
S04.811A Injury of olfactory [1st ] nerve, right side, initial encounter
S04.811D Injury of olfactory [1st ] nerve, right side, subsequent encounter
S04.811S Injury of olfactory [1st ] nerve, right side, sequela
S04.812A Injury of olfactory [1st ] nerve, left side, initial encounter
S04.812D Injury of olfactory [1st ] nerve, left side, subsequent encounter
S04.812S Injury of olfactory [1st ] nerve, left side, sequela
S04.891A Injury of other cranial nerves, right side, initial encounter
S04.891D Injury of other cranial nerves, right side, subsequent encounter
S04.891S Injury of other cranial nerves, right side, sequela
S04.892A Injury of other cranial nerves, left side, initial encounter
S04.892D Injury of other cranial nerves, left side, subsequent encounter
S04.892S Injury of other cranial nerves, left side, sequela
S14.0XXA Concussion and edema of cervical spinal cord, initial encounter
S14.0XXD Concussion and edema of cervical spinal cord, subsequent encounter
S14.0XXS Concussion and edema of cervical spinal cord, sequela
S14.111A Complete lesion at C1 level of cervical spinal cord, initial encounter
S14.111D Complete lesion at C1 level of cervical spinal cord, subsequent encounter
S14.111S Complete lesion at C1 level of cervical spinal cord, sequela
S14.112A Complete lesion at C2 level of cervical spinal cord, initial encounter
S14.112D Complete lesion at C2 level of cervical spinal cord, subsequent encounter
S14.112S Complete lesion at C2 level of cervical spinal cord, sequela
S14.113A Complete lesion at C3 level of cervical spinal cord, initial encounter
S14.113D Complete lesion at C3 level of cervical spinal cord, subsequent encounter
S14.113S Complete lesion at C3 level of cervical spinal cord, sequela
S14.114A Complete lesion at C4 level of cervical spinal cord, initial encounter
S14.114D Complete lesion at C4 level of cervical spinal cord, subsequent encounter
S14.114S Complete lesion at C4 level of cervical spinal cord, sequela
S14.115A Complete lesion at C5 level of cervical spinal cord, initial encounter
S14.115D Complete lesion at C5 level of cervical spinal cord, subsequent encounter
S14.115S Complete lesion at C5 level of cervical spinal cord, sequela
S14.116A Complete lesion at C6 level of cervical spinal cord, initial encounter
S14.116D Complete lesion at C6 level of cervical spinal cord, subsequent encounter
S14.116S Complete lesion at C6 level of cervical spinal cord, sequela
S14.117A Complete lesion at C7 level of cervical spinal cord, initial encounter
S14.117D Complete lesion at C7 level of cervical spinal cord, subsequent encounter
S14.117S Complete lesion at C7 level of cervical spinal cord, sequela
S14.118A Complete lesion at C8 level of cervical spinal cord, initial encounter
S14.118D Complete lesion at C8 level of cervical spinal cord, subsequent encounter
S14.118S Complete lesion at C8 level of cervical spinal cord, sequela
S14.121A Central cord syndrome at C1 level of cervical spinal cord, initial encounter
S14.121D Central cord syndrome at C1 level of cervical spinal cord, subsequent encounter
S14.121S Central cord syndrome at C1 level of cervical spinal cord, sequela
S14.122A Central cord syndrome at C2 level of cervical spinal cord, initial encounter
S14.122D Central cord syndrome at C2 level of cervical spinal cord, subsequent encounter
S14.122S Central cord syndrome at C2 level of cervical spinal cord, sequela
S14.123A Central cord syndrome at C3 level of cervical spinal cord, initial encounter
S14.123D Central cord syndrome at C3 level of cervical spinal cord, subsequent encounter
S14.123S Central cord syndrome at C3 level of cervical spinal cord, sequela
S14.124A Central cord syndrome at C4 level of cervical spinal cord, initial encounter
S14.124D Central cord syndrome at C4 level of cervical spinal cord, subsequent encounter
S14.124S Central cord syndrome at C4 level of cervical spinal cord, sequela
S14.125A Central cord syndrome at C5 level of cervical spinal cord, initial encounter
S14.125D Central cord syndrome at C5 level of cervical spinal cord, subsequent encounter
S14.125S Central cord syndrome at C5 level of cervical spinal cord, sequela
S14.126A Central cord syndrome at C6 level of cervical spinal cord, initial encounter
S14.126D Central cord syndrome at C6 level of cervical spinal cord, subsequent encounter
S14.126S Central cord syndrome at C6 level of cervical spinal cord, sequela
S14.127A Central cord syndrome at C7 level of cervical spinal cord, initial encounter
S14.127D Central cord syndrome at C7 level of cervical spinal cord, subsequent encounter
S14.127S Central cord syndrome at C7 level of cervical spinal cord, sequela
S14.128A Central cord syndrome at C8 level of cervical spinal cord, initial encounter
S14.128D Central cord syndrome at C8 level of cervical spinal cord, subsequent encounter
S14.128S Central cord syndrome at C8 level of cervical spinal cord, sequela
S14.131A Anterior cord syndrome at C1 level of cervical spinal cord, initial encounter
S14.131D Anterior cord syndrome at C1 level of cervical spinal cord, subsequent encounter
S14.131S Anterior cord syndrome at C1 level of cervical spinal cord, sequela
S14.132A Anterior cord syndrome at C2 level of cervical spinal cord, initial encounter
S14.132D Anterior cord syndrome at C2 level of cervical spinal cord, subsequent encounter
S14.132S Anterior cord syndrome at C2 level of cervical spinal cord, sequela
S14.133A Anterior cord syndrome at C3 level of cervical spinal cord, initial encounter
S14.133D Anterior cord syndrome at C3 level of cervical spinal cord, subsequent encounter
S14.133S Anterior cord syndrome at C3 level of cervical spinal cord, sequela
S14.134A Anterior cord syndrome at C4 level of cervical spinal cord, initial encounter
S14.134D Anterior cord syndrome at C4 level of cervical spinal cord, subsequent encounter
S14.134S Anterior cord syndrome at C4 level of cervical spinal cord, sequela
S14.135A Anterior cord syndrome at C5 level of cervical spinal cord, initial encounter
S14.135D Anterior cord syndrome at C5 level of cervical spinal cord, subsequent encounter
S14.135S Anterior cord syndrome at C5 level of cervical spinal cord, sequela
S14.136A Anterior cord syndrome at C6 level of cervical spinal cord, initial encounter
S14.136D Anterior cord syndrome at C6 level of cervical spinal cord, subsequent encounter
S14.136S Anterior cord syndrome at C6 level of cervical spinal cord, sequela
S14.137A Anterior cord syndrome at C7 level of cervical spinal cord, initial encounter
S14.137D Anterior cord syndrome at C7 level of cervical spinal cord, subsequent encounter
S14.137S Anterior cord syndrome at C7 level of cervical spinal cord, sequela
S14.138A Anterior cord syndrome at C8 level of cervical spinal cord, initial encounter
S14.138D Anterior cord syndrome at C8 level of cervical spinal cord, subsequent encounter
S14.138S Anterior cord syndrome at C8 level of cervical spinal cord, sequela
S14.141A Brown-Sequard syndrome at C1 level of cervical spinal cord, initial encounter
S14.141D Brown-Sequard syndrome at C1 level of cervical spinal cord, subsequent encounter
S14.141S Brown-Sequard syndrome at C1 level of cervical spinal cord, sequela
S14.142A Brown-Sequard syndrome at C2 level of cervical spinal cord, initial encounter
S14.142D Brown-Sequard syndrome at C2 level of cervical spinal cord, subsequent encounter
S14.142S Brown-Sequard syndrome at C2 level of cervical spinal cord, sequela
S14.143A Brown-Sequard syndrome at C3 level of cervical spinal cord, initial encounter
S14.143D Brown-Sequard syndrome at C3 level of cervical spinal cord, subsequent encounter
S14.143S Brown-Sequard syndrome at C3 level of cervical spinal cord, sequela
S14.144A Brown-Sequard syndrome at C4 level of cervical spinal cord, initial encounter
S14.144D Brown-Sequard syndrome at C4 level of cervical spinal cord, subsequent encounter
S14.144S Brown-Sequard syndrome at C4 level of cervical spinal cord, sequela
S14.145A Brown-Sequard syndrome at C5 level of cervical spinal cord, initial encounter
S14.145D Brown-Sequard syndrome at C5 level of cervical spinal cord, subsequent encounter
S14.145S Brown-Sequard syndrome at C5 level of cervical spinal cord, sequela
S14.146A Brown-Sequard syndrome at C6 level of cervical spinal cord, initial encounter
S14.146D Brown-Sequard syndrome at C6 level of cervical spinal cord, subsequent encounter
S14.146S Brown-Sequard syndrome at C6 level of cervical spinal cord, sequela
S14.147A Brown-Sequard syndrome at C7 level of cervical spinal cord, initial encounter
S14.147D Brown-Sequard syndrome at C7 level of cervical spinal cord, subsequent encounter
S14.147S Brown-Sequard syndrome at C7 level of cervical spinal cord, sequela
S14.148A Brown-Sequard syndrome at C8 level of cervical spinal cord, initial encounter
S14.148D Brown-Sequard syndrome at C8 level of cervical spinal cord, subsequent encounter
S14.148S Brown-Sequard syndrome at C8 level of cervical spinal cord, sequela
S14.151A Other incomplete lesion at C1 level of cervical spinal cord, initial encounter
S14.151D Other incomplete lesion at C1 level of cervical spinal cord, subsequent encounter
S14.151S Other incomplete lesion at C1 level of cervical spinal cord, sequela
S14.152A Other incomplete lesion at C2 level of cervical spinal cord, initial encounter
S14.152D Other incomplete lesion at C2 level of cervical spinal cord, subsequent encounter
S14.152S Other incomplete lesion at C2 level of cervical spinal cord, sequela
S14.153A Other incomplete lesion at C3 level of cervical spinal cord, initial encounter
S14.153D Other incomplete lesion at C3 level of cervical spinal cord, subsequent encounter
S14.153S Other incomplete lesion at C3 level of cervical spinal cord, sequela
S14.154A Other incomplete lesion at C4 level of cervical spinal cord, initial encounter
S14.154D Other incomplete lesion at C4 level of cervical spinal cord, subsequent encounter
S14.154S Other incomplete lesion at C4 level of cervical spinal cord, sequela
S14.155A Other incomplete lesion at C5 level of cervical spinal cord, initial encounter
S14.155D Other incomplete lesion at C5 level of cervical spinal cord, subsequent encounter
S14.155S Other incomplete lesion at C5 level of cervical spinal cord, sequela
S14.156A Other incomplete lesion at C6 level of cervical spinal cord, initial encounter
S14.156D Other incomplete lesion at C6 level of cervical spinal cord, subsequent encounter
S14.156S Other incomplete lesion at C6 level of cervical spinal cord, sequela
S14.157A Other incomplete lesion at C7 level of cervical spinal cord, initial encounter
S14.157D Other incomplete lesion at C7 level of cervical spinal cord, subsequent encounter
S14.157S Other incomplete lesion at C7 level of cervical spinal cord, sequela
S14.158A Other incomplete lesion at C8 level of cervical spinal cord, initial encounter
S14.158D Other incomplete lesion at C8 level of cervical spinal cord, subsequent encounter
S14.158S Other incomplete lesion at C8 level of cervical spinal cord, sequela
S14.2XXA Injury of nerve root of cervical spine, initial encounter
S14.2XXD Injury of nerve root of cervical spine, subsequent encounter
S14.2XXS Injury of nerve root of cervical spine, sequela
S14.3XXA Injury of brachial plexus, initial encounter
S14.3XXD Injury of brachial plexus, subsequent encounter
S14.3XXS Injury of brachial plexus, sequela
S14.4XXA Injury of peripheral nerves of neck, initial encounter
S14.4XXD Injury of peripheral nerves of neck, subsequent encounter
S14.4XXS Injury of peripheral nerves of neck, sequela
S14.8XXA Injury of other specified nerves of neck, initial encounter
S14.8XXD Injury of other specified nerves of neck, subsequent encounter
S14.8XXS Injury of other specified nerves of neck, sequela
S24.111A Complete lesion at T1 level of thoracic spinal cord, initial encounter
S24.111D Complete lesion at T1 level of thoracic spinal cord, subsequent encounter
S24.111S Complete lesion at T1 level of thoracic spinal cord, sequela
S24.112A Complete lesion at T2-T6 level of thoracic spinal cord, initial encounter
S24.112D Complete lesion at T2-T6 level of thoracic spinal cord, subsequent encounter
S24.112S Complete lesion at T2-T6 level of thoracic spinal cord, sequela
S24.113A Complete lesion at T7-T10 level of thoracic spinal cord, initial encounter
S24.113D Complete lesion at T7-T10 level of thoracic spinal cord, subsequent encounter
S24.113S Complete lesion at T7-T10 level of thoracic spinal cord, sequela
S24.114A Complete lesion at T11-T12 level of thoracic spinal cord, initial encounter
S24.114D Complete lesion at T11-T12 level of thoracic spinal cord, subsequent encounter
S24.114S Complete lesion at T11-T12 level of thoracic spinal cord, sequela
S24.131A Anterior cord syndrome at T1 level of thoracic spinal cord, initial encounter
S24.131D Anterior cord syndrome at T1 level of thoracic spinal cord, subsequent encounter
S24.131S Anterior cord syndrome at T1 level of thoracic spinal cord, sequela
S24.132A Anterior cord syndrome at T2-T6 level of thoracic spinal cord, initial encounter
S24.132D Anterior cord syndrome at T2-T6 level of thoracic spinal cord, subsequent encounter
S24.132S Anterior cord syndrome at T2-T6 level of thoracic spinal cord, sequela
S24.133A Anterior cord syndrome at T7-T10 level of thoracic spinal cord, initial encounter
S24.133D Anterior cord syndrome at T7-T10 level of thoracic spinal cord, subsequent encounter
S24.133S Anterior cord syndrome at T7-T10 level of thoracic spinal cord, sequela
S24.134A Anterior cord syndrome at T11-T12 level of thoracic spinal cord, initial encounter
S24.134D Anterior cord syndrome at T11-T12 level of thoracic spinal cord, subsequent encounter
S24.134S Anterior cord syndrome at T11-T12 level of thoracic spinal cord, sequela
S24.141A Brown-Sequard syndrome at T1 level of thoracic spinal cord, initial encounter
S24.141D Brown-Sequard syndrome at T1 level of thoracic spinal cord, subsequent encounter
S24.141S Brown-Sequard syndrome at T1 level of thoracic spinal cord, sequela
S24.142A Brown-Sequard syndrome at T2-T6 level of thoracic spinal cord, initial encounter
S24.142D Brown-Sequard syndrome at T2-T6 level of thoracic spinal cord, subsequent encounter
S24.142S Brown-Sequard syndrome at T2-T6 level of thoracic spinal cord, sequela
S24.143A Brown-Sequard syndrome at T7-T10 level of thoracic spinal cord, initial encounter
S24.143D Brown-Sequard syndrome at T7-T10 level of thoracic spinal cord, subsequent encounter
S24.143S Brown-Sequard syndrome at T7-T10 level of thoracic spinal cord, sequela
S24.144A Brown-Sequard syndrome at T11-T12 level of thoracic spinal cord, initial encounter
S24.144D Brown-Sequard syndrome at T11-T12 level of thoracic spinal cord, subsequent encounter
S24.144S Brown-Sequard syndrome at T11-T12 level of thoracic spinal cord, sequela
S24.151A Other incomplete lesion at T1 level of thoracic spinal cord, initial encounter
S24.151D Other incomplete lesion at T1 level of thoracic spinal cord, subsequent encounter
S24.151S Other incomplete lesion at T1 level of thoracic spinal cord, sequela
S24.152A Other incomplete lesion at T2-T6 level of thoracic spinal cord, initial encounter
S24.152D Other incomplete lesion at T2-T6 level of thoracic spinal cord, subsequent encounter
S24.152S Other incomplete lesion at T2-T6 level of thoracic spinal cord, sequela
S24.153A Other incomplete lesion at T7-T10 level of thoracic spinal cord, initial encounter
S24.153D Other incomplete lesion at T7-T10 level of thoracic spinal cord, subsequent encounter
S24.153S Other incomplete lesion at T7-T10 level of thoracic spinal cord, sequela
S24.154A Other incomplete lesion at T11-T12 level of thoracic spinal cord, initial encounter
S24.154D Other incomplete lesion at T11-T12 level of thoracic spinal cord, subsequent encounter
S24.154S Other incomplete lesion at T11-T12 level of thoracic spinal cord, sequela
S24.2XXA Injury of nerve root of thoracic spine, initial encounter
S24.2XXD Injury of nerve root of thoracic spine, subsequent encounter
S24.2XXS Injury of nerve root of thoracic spine, sequela
S24.3XXA Injury of peripheral nerves of thorax, initial encounter
S24.3XXD Injury of peripheral nerves of thorax, subsequent encounter
S24.3XXS Injury of peripheral nerves of thorax, sequela
S24.8XXA Injury of other specified nerves of thorax, initial encounter
S24.8XXD Injury of other specified nerves of thorax, subsequent encounter
S24.8XXS Injury of other specified nerves of thorax, sequela
S34.01XA Concussion and edema of lumbar spinal cord, initial encounter
S34.01XD Concussion and edema of lumbar spinal cord, subsequent encounter
S34.01XS Concussion and edema of lumbar spinal cord, sequela
S34.02XA Concussion and edema of sacral spinal cord, initial encounter
S34.02XD Concussion and edema of sacral spinal cord, subsequent encounter
S34.02XS Concussion and edema of sacral spinal cord, sequela
S34.111A Complete lesion of L1 level of lumbar spinal cord, initial encounter
S34.111D Complete lesion of L1 level of lumbar spinal cord, subsequent encounter
S34.111S Complete lesion of L1 level of lumbar spinal cord, sequela
S34.112A Complete lesion of L2 level of lumbar spinal cord, initial encounter
S34.112D Complete lesion of L2 level of lumbar spinal cord, subsequent encounter
S34.112S Complete lesion of L2 level of lumbar spinal cord, sequela
S34.113A Complete lesion of L3 level of lumbar spinal cord, initial encounter
S34.113D Complete lesion of L3 level of lumbar spinal cord, subsequent encounter
S34.113S Complete lesion of L3 level of lumbar spinal cord, sequela
S34.114A Complete lesion of L4 level of lumbar spinal cord, initial encounter
S34.114D Complete lesion of L4 level of lumbar spinal cord, subsequent encounter
S34.114S Complete lesion of L4 level of lumbar spinal cord, sequela
S34.115A Complete lesion of L5 level of lumbar spinal cord, initial encounter
S34.115D Complete lesion of L5 level of lumbar spinal cord, subsequent encounter
S34.115S Complete lesion of L5 level of lumbar spinal cord, sequela
S34.121A Incomplete lesion of L1 level of lumbar spinal cord, initial encounter
S34.121D Incomplete lesion of L1 level of lumbar spinal cord, subsequent encounter
S34.121S Incomplete lesion of L1 level of lumbar spinal cord, sequela
S34.122A Incomplete lesion of L2 level of lumbar spinal cord, initial encounter
S34.122D Incomplete lesion of L2 level of lumbar spinal cord, subsequent encounter
S34.122S Incomplete lesion of L2 level of lumbar spinal cord, sequela
S34.123A Incomplete lesion of L3 level of lumbar spinal cord, initial encounter
S34.123D Incomplete lesion of L3 level of lumbar spinal cord, subsequent encounter
S34.123S Incomplete lesion of L3 level of lumbar spinal cord, sequela
S34.124A Incomplete lesion of L4 level of lumbar spinal cord, initial encounter
S34.124D Incomplete lesion of L4 level of lumbar spinal cord, subsequent encounter
S34.124S Incomplete lesion of L4 level of lumbar spinal cord, sequela
S34.125A Incomplete lesion of L5 level of lumbar spinal cord, initial encounter
S34.125D Incomplete lesion of L5 level of lumbar spinal cord, subsequent encounter
S34.125S Incomplete lesion of L5 level of lumbar spinal cord, sequela
S34.131A Complete lesion of sacral spinal cord, initial encounter
S34.131D Complete lesion of sacral spinal cord, subsequent encounter
S34.131S Complete lesion of sacral spinal cord, sequela
S34.132A Incomplete lesion of sacral spinal cord, initial encounter
S34.132D Incomplete lesion of sacral spinal cord, subsequent encounter
S34.132S Incomplete lesion of sacral spinal cord, sequela
S34.21XA Injury of nerve root of lumbar spine, initial encounter
S34.21XD Injury of nerve root of lumbar spine, subsequent encounter
S34.21XS Injury of nerve root of lumbar spine, sequela
S34.22XA Injury of nerve root of sacral spine, initial encounter
S34.22XD Injury of nerve root of sacral spine, subsequent encounter
S34.22XS Injury of nerve root of sacral spine, sequela
S34.3XXA Injury of cauda equina, initial encounter
S34.3XXD Injury of cauda equina, subsequent encounter
S34.3XXS Injury of cauda equina, sequela
S34.4XXA Injury of lumbosacral plexus, initial encounter
S34.4XXD Injury of lumbosacral plexus, subsequent encounter
S34.4XXS Injury of lumbosacral plexus, sequela
S34.6XXA Injury of peripheral nerve(s) at abdomen, lower back and pelvis level, initial encounter
S34.6XXD Injury of peripheral nerve(s) at abdomen, lower back and pelvis level, subsequent encounter
S34.6XXS Injury of peripheral nerve(s) at abdomen, lower back and pelvis level, sequela
S34.8XXA Injury of other nerves at abdomen, lower back and pelvis level, initial encounter
S34.8XXD Injury of other nerves at abdomen, lower back and pelvis level, subsequent encounter
S34.8XXS Injury of other nerves at abdomen, lower back and pelvis level, sequela
S44.01XA Injury of ulnar nerve at upper arm level, right arm, initial encounter
S44.01XD Injury of ulnar nerve at upper arm level, right arm, subsequent encounter
S44.01XS Injury of ulnar nerve at upper arm level, right arm, sequela
S44.02XA Injury of ulnar nerve at upper arm level, left arm, initial encounter
S44.02XD Injury of ulnar nerve at upper arm level, left arm, subsequent encounter
S44.02XS Injury of ulnar nerve at upper arm level, left arm, sequela
S44.11XA Injury of median nerve at upper arm level, right arm, initial encounter
S44.11XD Injury of median nerve at upper arm level, right arm, subsequent encounter
S44.11XS Injury of median nerve at upper arm level, right arm, sequela
S44.12XA Injury of median nerve at upper arm level, left arm, initial encounter
S44.12XD Injury of median nerve at upper arm level, left arm, subsequent encounter
S44.12XS Injury of median nerve at upper arm level, left arm, sequela
S44.21XA Injury of radial nerve at upper arm level, right arm, initial encounter
S44.21XD Injury of radial nerve at upper arm level, right arm, subsequent encounter
S44.21XS Injury of radial nerve at upper arm level, right arm, sequela
S44.22XA Injury of radial nerve at upper arm level, left arm, initial encounter
S44.22XD Injury of radial nerve at upper arm level, left arm, subsequent encounter
S44.22XS Injury of radial nerve at upper arm level, left arm, sequela
S44.31XA Injury of axillary nerve, right arm, initial encounter
S44.31XD Injury of axillary nerve, right arm, subsequent encounter
S44.31XS Injury of axillary nerve, right arm, sequela
S44.32XA Injury of axillary nerve, left arm, initial encounter
S44.32XD Injury of axillary nerve, left arm, subsequent encounter
S44.32XS Injury of axillary nerve, left arm, sequela
S44.41XA Injury of musculocutaneous nerve, right arm, initial encounter
S44.41XD Injury of musculocutaneous nerve, right arm, subsequent encounter
S44.41XS Injury of musculocutaneous nerve, right arm, sequela
S44.42XA Injury of musculocutaneous nerve, left arm, initial encounter
S44.42XD Injury of musculocutaneous nerve, left arm, subsequent encounter
S44.42XS Injury of musculocutaneous nerve, left arm, sequela
S44.51XA Injury of cutaneous sensory nerve at shoulder and upper arm level, right arm, initial encounter
S44.51XD Injury of cutaneous sensory nerve at shoulder and upper arm level, right arm, subsequent encounter
S44.51XS Injury of cutaneous sensory nerve at shoulder and upper arm level, right arm, sequela
S44.52XA Injury of cutaneous sensory nerve at shoulder and upper arm level, left arm, initial encounter
S44.52XD Injury of cutaneous sensory nerve at shoulder and upper arm level, left arm, subsequent encounter
S44.52XS Injury of cutaneous sensory nerve at shoulder and upper arm level, left arm, sequela
S44.8X1A Injury of other nerves at shoulder and upper arm level, right arm, initial encounter
S44.8X1D Injury of other nerves at shoulder and upper arm level, right arm, subsequent encounter
S44.8X1S Injury of other nerves at shoulder and upper arm level, right arm, sequela
S44.8X2A Injury of other nerves at shoulder and upper arm level, left arm, initial encounter
S44.8X2D Injury of other nerves at shoulder and upper arm level, left arm, subsequent encounter
S44.8X2S Injury of other nerves at shoulder and upper arm level, left arm, sequela
S54.01XA Injury of ulnar nerve at forearm level, right arm, initial encounter
S54.01XD Injury of ulnar nerve at forearm level, right arm, subsequent encounter
S54.01XS Injury of ulnar nerve at forearm level, right arm, sequela
S54.02XA Injury of ulnar nerve at forearm level, left arm, initial encounter
S54.02XD Injury of ulnar nerve at forearm level, left arm, subsequent encounter
S54.02XS Injury of ulnar nerve at forearm level, left arm, sequela
S54.11XA Injury of median nerve at forearm level, right arm, initial encounter
S54.11XD Injury of median nerve at forearm level, right arm, subsequent encounter
S54.11XS Injury of median nerve at forearm level, right arm, sequela
S54.12XA Injury of median nerve at forearm level, left arm, initial encounter
S54.12XD Injury of median nerve at forearm level, left arm, subsequent encounter
S54.12XS Injury of median nerve at forearm level, left arm, sequela
S54.21XA Injury of radial nerve at forearm level, right arm, initial encounter
S54.21XD Injury of radial nerve at forearm level, right arm, subsequent encounter
S54.21XS Injury of radial nerve at forearm level, right arm, sequela
S54.22XA Injury of radial nerve at forearm level, left arm, initial encounter
S54.22XD Injury of radial nerve at forearm level, left arm, subsequent encounter
S54.22XS Injury of radial nerve at forearm level, left arm, sequela
S54.31XA Injury of cutaneous sensory nerve at forearm level, right arm, initial encounter
S54.31XD Injury of cutaneous sensory nerve at forearm level, right arm, subsequent encounter
S54.31XS Injury of cutaneous sensory nerve at forearm level, right arm, sequela
S54.32XA Injury of cutaneous sensory nerve at forearm level, left arm, initial encounter
S54.32XD Injury of cutaneous sensory nerve at forearm level, left arm, subsequent encounter
S54.32XS Injury of cutaneous sensory nerve at forearm level, left arm, sequela
S54.8X1A Injury of other nerves at forearm level, right arm, initial encounter
S54.8X1D Injury of other nerves at forearm level, right arm, subsequent encounter
S54.8X1S Injury of other nerves at forearm level, right arm, sequela
S54.8X2A Injury of other nerves at forearm level, left arm, initial encounter
S54.8X2D Injury of other nerves at forearm level, left arm, subsequent encounter
S54.8X2S Injury of other nerves at forearm level, left arm, sequela
S64.01XA Injury of ulnar nerve at wrist and hand level of right arm, initial encounter
S64.01XD Injury of ulnar nerve at wrist and hand level of right arm, subsequent encounter
S64.01XS Injury of ulnar nerve at wrist and hand level of right arm, sequela
S64.02XA Injury of ulnar nerve at wrist and hand level of left arm, initial encounter
S64.02XD Injury of ulnar nerve at wrist and hand level of left arm, subsequent encounter
S64.02XS Injury of ulnar nerve at wrist and hand level of left arm, sequela
S64.11XA Injury of median nerve at wrist and hand level of right arm, initial encounter
S64.11XD Injury of median nerve at wrist and hand level of right arm, subsequent encounter
S64.11XS Injury of median nerve at wrist and hand level of right arm, sequela
S64.12XA Injury of median nerve at wrist and hand level of left arm, initial encounter
S64.12XD Injury of median nerve at wrist and hand level of left arm, subsequent encounter
S64.12XS Injury of median nerve at wrist and hand level of left arm, sequela
S64.21XA Injury of radial nerve at wrist and hand level of right arm, initial encounter
S64.21XD Injury of radial nerve at wrist and hand level of right arm, subsequent encounter
S64.21XS Injury of radial nerve at wrist and hand level of right arm, sequela
S64.22XA Injury of radial nerve at wrist and hand level of left arm, initial encounter
S64.22XD Injury of radial nerve at wrist and hand level of left arm, subsequent encounter
S64.22XS Injury of radial nerve at wrist and hand level of left arm, sequela
S64.31XA Injury of digital nerve of right thumb, initial encounter
S64.31XD Injury of digital nerve of right thumb, subsequent encounter
S64.31XS Injury of digital nerve of right thumb, sequela
S64.32XA Injury of digital nerve of left thumb, initial encounter
S64.32XD Injury of digital nerve of left thumb, subsequent encounter
S64.32XS Injury of digital nerve of left thumb, sequela
S64.490A Injury of digital nerve of right index finger, initial encounter
S64.490D Injury of digital nerve of right index finger, subsequent encounter
S64.490S Injury of digital nerve of right index finger, sequela
S64.491A Injury of digital nerve of left index finger, initial encounter
S64.491D Injury of digital nerve of left index finger, subsequent encounter
S64.491S Injury of digital nerve of left index finger, sequela
S64.492A Injury of digital nerve of right middle finger, initial encounter
S64.492D Injury of digital nerve of right middle finger, subsequent encounter
S64.492S Injury of digital nerve of right middle finger, sequela
S64.493A Injury of digital nerve of left middle finger, initial encounter
S64.493D Injury of digital nerve of left middle finger, subsequent encounter
S64.493S Injury of digital nerve of left middle finger, sequela
S64.494A Injury of digital nerve of right ring finger, initial encounter
S64.494D Injury of digital nerve of right ring finger, subsequent encounter
S64.494S Injury of digital nerve of right ring finger, sequela
S64.495A Injury of digital nerve of left ring finger, initial encounter
S64.495D Injury of digital nerve of left ring finger, subsequent encounter
S64.495S Injury of digital nerve of left ring finger, sequela
S64.496A Injury of digital nerve of right little finger, initial encounter
S64.496D Injury of digital nerve of right little finger, subsequent encounter
S64.496S Injury of digital nerve of right little finger, sequela
S64.497A Injury of digital nerve of left little finger, initial encounter
S64.497D Injury of digital nerve of left little finger, subsequent encounter
S64.497S Injury of digital nerve of left little finger, sequela
S64.8X1A Injury of other nerves at wrist and hand level of right arm, initial encounter
S64.8X1D Injury of other nerves at wrist and hand level of right arm, subsequent encounter
S64.8X1S Injury of other nerves at wrist and hand level of right arm, sequela
S64.8X2A Injury of other nerves at wrist and hand level of left arm, initial encounter
S64.8X2D Injury of other nerves at wrist and hand level of left arm, subsequent encounter
S64.8X2S Injury of other nerves at wrist and hand level of left arm, sequela
S74.01XA Injury of sciatic nerve at hip and thigh level, right leg, initial encounter
S74.01XD Injury of sciatic nerve at hip and thigh level, right leg, subsequent encounter
S74.01XS Injury of sciatic nerve at hip and thigh level, right leg, sequela
S74.02XA Injury of sciatic nerve at hip and thigh level, left leg, initial encounter
S74.02XD Injury of sciatic nerve at hip and thigh level, left leg, subsequent encounter
S74.02XS Injury of sciatic nerve at hip and thigh level, left leg, sequela
S74.11XA Injury of femoral nerve at hip and thigh level, right leg, initial encounter
S74.11XD Injury of femoral nerve at hip and thigh level, right leg, subsequent encounter
S74.11XS Injury of femoral nerve at hip and thigh level, right leg, sequela
S74.12XA Injury of femoral nerve at hip and thigh level, left leg, initial encounter
S74.12XD Injury of femoral nerve at hip and thigh level, left leg, subsequent encounter
S74.12XS Injury of femoral nerve at hip and thigh level, left leg, sequela
S74.21XA Injury of cutaneous sensory nerve at hip and high level, right leg, initial encounter
S74.21XD Injury of cutaneous sensory nerve at hip and high level, right leg, subsequent encounter
S74.21XS Injury of cutaneous sensory nerve at hip and high level, right leg, sequela
S74.22XA Injury of cutaneous sensory nerve at hip and thigh level, left leg, initial encounter
S74.22XD Injury of cutaneous sensory nerve at hip and thigh level, left leg, subsequent encounter
S74.22XS Injury of cutaneous sensory nerve at hip and thigh level, left leg, sequela
S74.8X1A Injury of other nerves at hip and thigh level, right leg, initial encounter
S74.8X1D Injury of other nerves at hip and thigh level, right leg, subsequent encounter
S74.8X1S Injury of other nerves at hip and thigh level, right leg, sequela
S74.8X2A Injury of other nerves at hip and thigh level, left leg, initial encounter
S74.8X2D Injury of other nerves at hip and thigh level, left leg, subsequent encounter
S74.8X2S Injury of other nerves at hip and thigh level, left leg, sequela
S84.01XA Injury of tibial nerve at lower leg level, right leg, initial encounter
S84.01XD Injury of tibial nerve at lower leg level, right leg, subsequent encounter
S84.01XS Injury of tibial nerve at lower leg level, right leg, sequela
S84.02XA Injury of tibial nerve at lower leg level, left leg, initial encounter
S84.02XD Injury of tibial nerve at lower leg level, left leg, subsequent encounter
S84.02XS Injury of tibial nerve at lower leg level, left leg, sequela
S84.11XA Injury of peroneal nerve at lower leg level, right leg, initial encounter
S84.11XD Injury of peroneal nerve at lower leg level, right leg, subsequent encounter
S84.11XS Injury of peroneal nerve at lower leg level, right leg, sequela
S84.12XA Injury of peroneal nerve at lower leg level, left leg, initial encounter
S84.12XD Injury of peroneal nerve at lower leg level, left leg, subsequent encounter
S84.12XS Injury of peroneal nerve at lower leg level, left leg, sequela
S84.21XA Injury of cutaneous sensory nerve at lower leg level, right leg, initial encounter
S84.21XD Injury of cutaneous sensory nerve at lower leg level, right leg, subsequent encounter
S84.21XS Injury of cutaneous sensory nerve at lower leg level, right leg, sequela
S84.22XA Injury of cutaneous sensory nerve at lower leg level, left leg, initial encounter
S84.22XD Injury of cutaneous sensory nerve at lower leg level, left leg, subsequent encounter
S84.22XS Injury of cutaneous sensory nerve at lower leg level, left leg, sequela
S84.801A Injury of other nerves at lower leg level, right leg, initial encounter
S84.801D Injury of other nerves at lower leg level, right leg, subsequent encounter
S84.801S Injury of other nerves at lower leg level, right leg, sequela
S84.802A Injury of other nerves at lower leg level, left leg, initial encounter
S84.802D Injury of other nerves at lower leg level, left leg, subsequent encounter
S84.802S Injury of other nerves at lower leg level, left leg, sequela
S94.01XA Injury of lateral plantar nerve, right leg, initial encounter
S94.01XD Injury of lateral plantar nerve, right leg, subsequent encounter
S94.01XS Injury of lateral plantar nerve, right leg, sequela
S94.02XA Injury of lateral plantar nerve, left leg, initial encounter
S94.02XD Injury of lateral plantar nerve, left leg, subsequent encounter
S94.02XS Injury of lateral plantar nerve, left leg, sequela
S94.11XA Injury of medial plantar nerve, right leg, initial encounter
S94.11XD Injury of medial plantar nerve, right leg, subsequent encounter
S94.11XS Injury of medial plantar nerve, right leg, sequela
S94.12XA Injury of medial plantar nerve, left leg, initial encounter
S94.12XD Injury of medial plantar nerve, left leg, subsequent encounter
S94.12XS Injury of medial plantar nerve, left leg, sequela
S94.21XA Injury of deep peroneal nerve at ankle and foot level, right leg, initial encounter
S94.21XD Injury of deep peroneal nerve at ankle and foot level, right leg, subsequent encounter
S94.21XS Injury of deep peroneal nerve at ankle and foot level, right leg, sequela
S94.22XA Injury of deep peroneal nerve at ankle and foot level, left leg, initial encounter
S94.22XD Injury of deep peroneal nerve at ankle and foot level, left leg, subsequent encounter
S94.22XS Injury of deep peroneal nerve at ankle and foot level, left leg, sequela
S94.31XA Injury of cutaneous sensory nerve at ankle and foot level, right leg, initial encounter
S94.31XD Injury of cutaneous sensory nerve at ankle and foot level, right leg, subsequent encounter
S94.31XS Injury of cutaneous sensory nerve at ankle and foot level, right leg, sequela
S94.32XA Injury of cutaneous sensory nerve at ankle and foot level, left leg, initial encounter
S94.32XD Injury of cutaneous sensory nerve at ankle and foot level, left leg, subsequent encounter
S94.32XS Injury of cutaneous sensory nerve at ankle and foot level, left leg, sequela
S94.8X1A Injury of other nerves at ankle and foot level, right leg, initial encounter
S94.8X1D Injury of other nerves at ankle and foot level, right leg, subsequent encounter
S94.8X1S Injury of other nerves at ankle and foot level, right leg, sequela
S94.8X2A Injury of other nerves at ankle and foot level, left leg, initial encounter
S94.8X2D Injury of other nerves at ankle and foot level, left leg, subsequent encounter
S94.8X2S Injury of other nerves at ankle and foot level, left leg, sequela
Group 3 Medical Necessity ICD-10-CM Codes Asterisk Explanation

*Report ICD-10 code G12.1 for Kennedy’s Disease.

*Report ICD-10 code G12.29 for Pseudobulbar Palsy.

*Report ICD-10 code H53.8 for blurred vision.

*Report ICD-10 code R29.810 for change in facial expression.

*Report ICD-10 code R63.39 for difficulty chewing.

*Dual Diagnosis Requirement: To reflect NCS performed without NEMG for individuals with significant lymphedema in the affected extremity, ICD-10 code I89.0 must be reported with CPT code 95907, 95908, 95909, 95910, 95911, 95912 or 95913 in addition to the primary diagnosis (i.e., one of the diagnosis codes in the above table).

*Dual Diagnosis Requirement: To reflect NCS performed without NEMG for individuals treated with anticoagulants, ICD-10 code Z79.01 or Z79.02 must be reported with CPT code 95907, 95908, 95909, 95910, 95911, 95912 or 95913 in addition to the primary diagnosis (i.e., one of the diagnosis codes in the above table).

Group 4

(215 Codes)
Group 4 Paragraph


It is the provider’s responsibility to select codes carried out to the highest level of specificity and selected from the ICD-10-CM code book appropriate to the year in which the service is rendered for the claim(s) submitted.

The following ICD-10-CM codes support medical necessity and provide coverage for CPT code: 95937.

Group 4 Codes
Code Description
A05.1 Botulism food poisoning
A35 Other tetanus
A48.51 Infant botulism
A48.52 Wound botulism
B91 Sequelae of poliomyelitis
E71.314 Muscle carnitine palmitoyltransferase deficiency
E71.41 Primary carnitine deficiency
E71.42 Carnitine deficiency due to inborn errors of metabolism
E71.43 Iatrogenic carnitine deficiency
E71.440 Ruvalcaba-Myhre-Smith syndrome
E71.448 Other secondary carnitine deficiency
E74.02 Pompe disease
E74.03 Cori disease
E74.04 McArdle disease
E74.05 Lysosome-associated membrane protein 2 [LAMP2] deficiency
E74.09 Other glycogen storage disease
E79.2 Myoadenylate deaminase deficiency
G12.0 Infantile spinal muscular atrophy, type I [Werdnig-Hoffman]
G12.1* Other inherited spinal muscular atrophy
G12.20 Motor neuron disease, unspecified
G12.21 Amyotrophic lateral sclerosis
G12.22 Progressive bulbar palsy
G12.23 Primary lateral sclerosis
G12.24 Familial motor neuron disease
G12.25 Progressive spinal muscle atrophy
G12.29* Other motor neuron disease
G12.8 Other spinal muscular atrophies and related syndromes
G12.9 Spinal muscular atrophy, unspecified
G14 Postpolio syndrome
G70.00 Myasthenia gravis without (acute) exacerbation
G70.01 Myasthenia gravis with (acute) exacerbation
G70.1 Toxic myoneural disorders
G70.2 Congenital and developmental myasthenia
G70.80 Lambert-Eaton syndrome, unspecified
G70.81 Lambert-Eaton syndrome in disease classified elsewhere
G70.89 Other specified myoneural disorders
G70.9 Myoneural disorder, unspecified
G71.00 Muscular dystrophy, unspecified
G71.01 Duchenne or Becker muscular dystrophy
G71.02 Facioscapulohumeral muscular dystrophy
G71.031 Autosomal dominant limb girdle muscular dystrophy
G71.032 Autosomal recessive limb girdle muscular dystrophy due to calpain-3 dysfunction
G71.033 Limb girdle muscular dystrophy due to dysferlin dysfunction
G71.0341 Limb girdle muscular dystrophy due to alpha sarcoglycan dysfunction
G71.0342 Limb girdle muscular dystrophy due to beta sarcoglycan dysfunction
G71.0349 Limb girdle muscular dystrophy due to other sarcoglycan dysfunction
G71.035 Limb girdle muscular dystrophy due to anoctamin-5 dysfunction
G71.038 Other limb girdle muscular dystrophy
G71.09 Other specified muscular dystrophies
G71.11 Myotonic muscular dystrophy
G71.12 Myotonia congenita
G71.13 Myotonic chondrodystrophy
G71.14 Drug induced myotonia
G71.19 Other specified myotonic disorders
G71.20 Congenital myopathy, unspecified
G71.21 Nemaline myopathy
G71.220 X-linked myotubular myopathy
G71.228 Other centronuclear myopathy
G71.29 Other congenital myopathy
G71.3 Mitochondrial myopathy, not elsewhere classified
G71.8 Other primary disorders of muscles
G71.9 Primary disorder of muscle, unspecified
G72.0 Drug-induced myopathy
G72.1 Alcoholic myopathy
G72.2 Myopathy due to other toxic agents
G72.3 Periodic paralysis
G72.41 Inclusion body myositis [IBM]
G72.49 Other inflammatory and immune myopathies, not elsewhere classified
G72.81 Critical illness myopathy
G72.89 Other specified myopathies
G72.9 Myopathy, unspecified
G73.1 Lambert-Eaton syndrome in neoplastic disease
G73.3 Myasthenic syndromes in other diseases classified elsewhere
G73.7 Myopathy in diseases classified elsewhere
H02.421 Myogenic ptosis of right eyelid
H02.422 Myogenic ptosis of left eyelid
H02.423 Myogenic ptosis of bilateral eyelids
H05.821 Myopathy of extraocular muscles, right orbit
H05.822 Myopathy of extraocular muscles, left orbit
H05.823 Myopathy of extraocular muscles, bilateral
H53.2 Diplopia
H53.8* Other visual disturbances
M05.411 Rheumatoid myopathy with rheumatoid arthritis of right shoulder
M05.412 Rheumatoid myopathy with rheumatoid arthritis of left shoulder
M05.421 Rheumatoid myopathy with rheumatoid arthritis of right elbow
M05.422 Rheumatoid myopathy with rheumatoid arthritis of left elbow
M05.431 Rheumatoid myopathy with rheumatoid arthritis of right wrist
M05.432 Rheumatoid myopathy with rheumatoid arthritis of left wrist
M05.441 Rheumatoid myopathy with rheumatoid arthritis of right hand
M05.442 Rheumatoid myopathy with rheumatoid arthritis of left hand
M05.451 Rheumatoid myopathy with rheumatoid arthritis of right hip
M05.452 Rheumatoid myopathy with rheumatoid arthritis of left hip
M05.461 Rheumatoid myopathy with rheumatoid arthritis of right knee
M05.462 Rheumatoid myopathy with rheumatoid arthritis of left knee
M05.471 Rheumatoid myopathy with rheumatoid arthritis of right ankle and foot
M05.472 Rheumatoid myopathy with rheumatoid arthritis of left ankle and foot
M05.49 Rheumatoid myopathy with rheumatoid arthritis of multiple sites
M21.371 Foot drop, right foot
M21.372 Foot drop, left foot
M33.02 Juvenile dermatomyositis with myopathy
M33.12 Other dermatomyositis with myopathy
M33.22 Polymyositis with myopathy
M33.92 Dermatopolymyositis, unspecified with myopathy
M34.82 Systemic sclerosis with myopathy
M35.03 Sjogren syndrome with myopathy
M36.0 Dermato(poly)myositis in neoplastic disease
M60.011 Infective myositis, right shoulder
M60.012 Infective myositis, left shoulder
M60.021 Infective myositis, right upper arm
M60.022 Infective myositis, left upper arm
M60.031 Infective myositis, right forearm
M60.032 Infective myositis, left forearm
M60.041 Infective myositis, right hand
M60.042 Infective myositis, left hand
M60.044 Infective myositis, right finger(s)
M60.045 Infective myositis, left finger(s)
M60.051 Infective myositis, right thigh
M60.052 Infective myositis, left thigh
M60.061 Infective myositis, right lower leg
M60.062 Infective myositis, left lower leg
M60.070 Infective myositis, right ankle
M60.071 Infective myositis, left ankle
M60.073 Infective myositis, right foot
M60.074 Infective myositis, left foot
M60.076 Infective myositis, right toe(s)
M60.077 Infective myositis, left toe(s)
M60.08 Infective myositis, other site
M60.09 Infective myositis, multiple sites
M60.111 Interstitial myositis, right shoulder
M60.112 Interstitial myositis, left shoulder
M60.121 Interstitial myositis, right upper arm
M60.122 Interstitial myositis, left upper arm
M60.131 Interstitial myositis, right forearm
M60.132 Interstitial myositis, left forearm
M60.141 Interstitial myositis, right hand
M60.142 Interstitial myositis, left hand
M60.151 Interstitial myositis, right thigh
M60.152 Interstitial myositis, left thigh
M60.161 Interstitial myositis, right lower leg
M60.162 Interstitial myositis, left lower leg
M60.171 Interstitial myositis, right ankle and foot
M60.172 Interstitial myositis, left ankle and foot
M60.18 Interstitial myositis, other site
M60.19 Interstitial myositis, multiple sites
M60.811 Other myositis, right shoulder
M60.812 Other myositis, left shoulder
M60.821 Other myositis, right upper arm
M60.822 Other myositis, left upper arm
M60.831 Other myositis, right forearm
M60.832 Other myositis, left forearm
M60.841 Other myositis, right hand
M60.842 Other myositis, left hand
M60.851 Other myositis, right thigh
M60.852 Other myositis, left thigh
M60.861 Other myositis, right lower leg
M60.862 Other myositis, left lower leg
M60.871 Other myositis, right ankle and foot
M60.872 Other myositis, left ankle and foot
M60.88 Other myositis, other site
M60.89 Other myositis, multiple sites
M62.511 Muscle wasting and atrophy, not elsewhere classified, right shoulder
M62.512 Muscle wasting and atrophy, not elsewhere classified, left shoulder
M62.521 Muscle wasting and atrophy, not elsewhere classified, right upper arm
M62.522 Muscle wasting and atrophy, not elsewhere classified, left upper arm
M62.531 Muscle wasting and atrophy, not elsewhere classified, right forearm
M62.532 Muscle wasting and atrophy, not elsewhere classified, left forearm
M62.541 Muscle wasting and atrophy, not elsewhere classified, right hand
M62.542 Muscle wasting and atrophy, not elsewhere classified, left hand
M62.551 Muscle wasting and atrophy, not elsewhere classified, right thigh
M62.552 Muscle wasting and atrophy, not elsewhere classified, left thigh
M62.561 Muscle wasting and atrophy, not elsewhere classified, right lower leg
M62.562 Muscle wasting and atrophy, not elsewhere classified, left lower leg
M62.571 Muscle wasting and atrophy, not elsewhere classified, right ankle and foot
M62.572 Muscle wasting and atrophy, not elsewhere classified, left ankle and foot
M62.58 Muscle wasting and atrophy, not elsewhere classified, other site
M62.59 Muscle wasting and atrophy, not elsewhere classified, multiple sites
M62.5A0 Muscle wasting and atrophy, not elsewhere classified, back, cervical
M62.5A1 Muscle wasting and atrophy, not elsewhere classified, back, thoracic
M62.5A2 Muscle wasting and atrophy, not elsewhere classified, back, lumbosacral
M62.81 Muscle weakness (generalized)
M62.82 Rhabdomyolysis
M62.830 Muscle spasm of back
M62.831 Muscle spasm of calf
M62.838 Other muscle spasm
M63.811 Disorders of muscle in diseases classified elsewhere, right shoulder
M63.812 Disorders of muscle in diseases classified elsewhere, left shoulder
M63.821 Disorders of muscle in diseases classified elsewhere, right upper arm
M63.822 Disorders of muscle in diseases classified elsewhere, left upper arm
M63.831 Disorders of muscle in diseases classified elsewhere, right forearm
M63.832 Disorders of muscle in diseases classified elsewhere, left forearm
M63.841 Disorders of muscle in diseases classified elsewhere, right hand
M63.842 Disorders of muscle in diseases classified elsewhere, left hand
M63.851 Disorders of muscle in diseases classified elsewhere, right thigh
M63.852 Disorders of muscle in diseases classified elsewhere, left thigh
M63.861 Disorders of muscle in diseases classified elsewhere, right lower leg
M63.862 Disorders of muscle in diseases classified elsewhere, left lower leg
M63.871 Disorders of muscle in diseases classified elsewhere, right ankle and foot
M63.872 Disorders of muscle in diseases classified elsewhere, left ankle and foot
M63.88 Disorders of muscle in diseases classified elsewhere, other site
M63.89 Disorders of muscle in diseases classified elsewhere, multiple sites
M79.11 Myalgia of mastication muscle
M79.12 Myalgia of auxiliary muscles, head and neck
M79.18 Myalgia, other site
R06.02 Shortness of breath
R13.12 Dysphagia, oropharyngeal phase
R13.13 Dysphagia, pharyngeal phase
R13.14 Dysphagia, pharyngoesophageal phase
R13.19 Other dysphagia
R25.2 Cramp and spasm
R25.3 Fasciculation
R29.810* Facial weakness
R47.1 Dysarthria and anarthria
R47.81 Slurred speech
R53.83 Other fatigue
R63.39* Other feeding difficulties
Group 4 Medical Necessity ICD-10-CM Codes Asterisk Explanation

*Report ICD-10 code G12.1 for Kennedy’s Disease.

*Report ICD-10 code G12.29 for Pseudobulbar Palsy.

*Report ICD-10 code H53.8 for blurred vision.

*Report ICD-10 code R29.810 for change in facial expression.

*Report ICD-10 code R63.39 for difficulty chewing.

Group 5

(9 Codes)
Group 5 Paragraph

 

It is the provider’s responsibility to select codes carried out to the highest level of specificity and selected from the ICD-10-CM code book appropriate to the year in which the service is rendered for the claim(s) submitted.

The following ICD-10-CM codes support medical necessity and provide coverage for CPT code: 95865.

Group 5 Codes
Code Description
J38.01 Paralysis of vocal cords and larynx, unilateral
J38.02 Paralysis of vocal cords and larynx, bilateral
R06.02 Shortness of breath
R13.12 Dysphagia, oropharyngeal phase
R13.13 Dysphagia, pharyngeal phase
R13.14 Dysphagia, pharyngoesophageal phase
R13.19 Other dysphagia
R49.0 Dysphonia
R49.8 Other voice and resonance disorders

Group 6

(18 Codes)
Group 6 Paragraph


It is the provider’s responsibility to select codes carried out to the highest level of specificity and selected from the ICD-10-CM code book appropriate to the year in which the service is rendered for the claim(s) submitted.

The following ICD-10-CM codes support medical necessity and provide coverage for CPT code: 95872.

Group 6 Codes
Code Description
G70.00 Myasthenia gravis without (acute) exacerbation
G70.01 Myasthenia gravis with (acute) exacerbation
G70.1 Toxic myoneural disorders
G70.2 Congenital and developmental myasthenia
G70.80 Lambert-Eaton syndrome, unspecified
G70.81 Lambert-Eaton syndrome in disease classified elsewhere
G70.89 Other specified myoneural disorders
G70.9 Myoneural disorder, unspecified
G73.1 Lambert-Eaton syndrome in neoplastic disease
G73.3 Myasthenic syndromes in other diseases classified elsewhere
H02.421 Myogenic ptosis of right eyelid
H02.422 Myogenic ptosis of left eyelid
H02.423 Myogenic ptosis of bilateral eyelids
H05.821 Myopathy of extraocular muscles, right orbit
H05.822 Myopathy of extraocular muscles, left orbit
H05.823 Myopathy of extraocular muscles, bilateral
H53.2 Diplopia
H53.8* Other visual disturbances
Group 6 Medical Necessity ICD-10-CM Codes Asterisk Explanation

*Report ICD-10 code H53.8 for blurred vision.

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ICD-10-CM Codes that DO NOT Support Medical Necessity

Group 1

(1 Code)
Group 1 Paragraph


All those not listed under the "ICD-10-CM Codes that Support Medical Necessity" section of this article.

Group 1 Codes
Code Description
XX000 Not Applicable
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ICD-10-PCS Codes

Group 1

Group 1 Paragraph

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Group 1 Codes

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Additional ICD-10 Information

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Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type. Complete absence of all Bill Types indicates that coverage is not influenced by Bill Type and the article should be assumed to apply equally to all claims.

Code Description
999x Not Applicable
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Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination. Complete absence of all Revenue Codes indicates that coverage is not influenced by Revenue Code and the article should be assumed to apply equally to all Revenue Codes.

Code Description
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Other Coding Information

Group 1

Group 1 Paragraph

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Group 1 Codes

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Coding Table Information

Excluded CPT/HCPCS Codes - Table Format
Code Descriptor Generic Name Descriptor Brand Name Exclusion Effective Date Exclusion End Date Reason for Exclusion
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Non-Excluded CPT/HCPCS Ended Codes - Table Format
Code Descriptor Generic Name Descriptor Brand Name Exclusion Effective Date Exclusion End Date Reason for Exclusion
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Revision History Information

Revision History Date Revision History Number Revision History Explanation
01/01/2024 R10

Article revised and published on 01/25/2024 effective for dates of service on and after 01/01/2024 to reflect the Annual HCPCS/CPT Code Updates. For the following CPT code either the short description and/or the long description was changed. Depending on which description is used in this article, there may not be any change in how the code displays: 92265 (Group 7 Codes).

12/10/2023 R9

Article posted for notice on 10/26/2023 to become effective 12/10/2023.

Draft article posted on 6/1/2023.

01/01/2023 R8

Article revised and published on 01/26/2023 effective for dates of service on and after 01/01/2023 to reflect the Annual HCPCS/CPT Code Updates. For the following CPT code either the short description and/or the long description was changed. Depending on which description is used in this article, there may not be any change in how the code displays: 95999 in Group 1 Codes.

10/01/2022 R7

Article revised and published on 10/20/2022 effective for dates of service on and after 10/01/2022 to reflect the Annual ICD-10-CM Code Updates. ICD-10-CM code G93.3 has been deleted and therefore has been removed from the article. The following ICD-10-CM codes have been added to ICD-10-CM Codes that Support Medical Necessity Group 1: G71.031, G71.032, G71.033, G71.0341, G71.0342, G71.0349, G71.035, G71.038, G93.31, G93.32, G93.39, M62.5A0, M62.5A1, M62.5A2. Language related to the various CPT codes and references has been revised throughout the article text to ensure consistency with the CPT manual. Minor formatting changes have been made throughout the article.

06/03/2022 R6

Article revised and published on 8/25/2022 to add a Note to the ICD-10-CM Codes Paragraph 1indicating that ICD-10-CM code G93.3 continues to be a covered diagnosis. A "Document Note" has been added to the top of this article and to the top of the version published on 08/11/2022.

06/03/2022 R5

Article revised and published on 08/11/2022 effective for dates of service on and after 06/03/2022 in response to an inquiry. The following ICD-10 CM codes have been added to the article: I69.031, I69.032, I69.033, I69.034, I69.041, I69.042, I69.043, I69.044, I69.051, I69.052, I69.053, I69.054, I69.061, I69.062, I69.063, I69.064, I69.065, I69.131, I69.132, I69.133, I69.134, I69.141, I69.142, I69.143, I69.144, I69.151, I69.152, I69.153, I69.154, I69.161, I69.162, I69.163, I69.164, I69.165, I69.231, I69.232, I69.233, I69.234, I69.241, I69.242, I69.243, I69.244, I69.251, I69.252, I69.253, I69.254, I69.261, I69.262, I69.263, I69.264, I69.265, I69.331, I69.332, I69.333, I69.334, I69.341, I69.342, I69.343, I69.344, I69.351, I69.352, I69.353, I69.354, I69.361, I69.362, I69.363, I69.364, I69.365, I69.831, I69.832, I69.833, I69.834, I69.841, I69.842, I69.843, I69.844, I69.851, I69.852, I69.853, I69.854 in the 'ICD-10-CM Codes that Support Medical Necessity for ‘Group 1 Codes’.

10/01/2021 R4

Article revised and published on 10/14/2021 effective for dates of service on and after 10/01/2021 to reflect the Annual ICD-10-CM Code Updates. The following ICD-10-CM code has been added to the article: M54.59 in Group 1 Codes. The following ICD-10-CM code has been deleted and therefore has been removed from the article: M54.5 in Group 1 Codes. The following ICD-10-CM code has undergone a descriptor change: M35.03 in Group 1 Codes.

01/01/2021 R3

Article revised and published on 02/18/2021 effective for dates of service on and after 01/01/2021. Based on the Quarterly 2021 ICD-10-CM code Update, code M35.8 has been deleted and therefore removed from the article and ICD-10-CM code M35.89 has been added in its place in the Group 1 codes that support medical necessity section.

Minor formatting changes have been made throughout the article.

10/01/2020 R2

Revision Number: 2
Publication: September 2020 Connection
LCR A/B2020-065

Explanation of Revision: Based on CR 11895 and CR 11845 (Annual 2021 ICD-10-CM Update), the “ICD-10 Codes that Support Medical Necessity/ Group 1 Codes:” section of this billing and coding article was revised to delete ICD-10-CM codes G11.1 and G71.2 and replace them with ICD-10-CM codes G11.11, G11.19 and G71.21, G71.220, G71.228, G71.29, respectively. In addition, formatting changes have been made throughout the article. The effective date of this revision is based on date of service.

10/03/2018 R1

Revision Number: 1
Publication: July 2020 Connection
LCR A/B2020-061

Explanation of Revision: Based on further review, the “ICD-10 Codes that Support Medical Necessity/Group 1 Codes:” section of the billing and coding article was revised to include ICD-10-CM diagnosis code range M60.80-M60.9, which was omitted in error during the process of moving the ICD-10-CM diagnosis codes from the LCD to the billing and coding article. Also, CPT code 95999 and HCPCS code G0255 have been removed from “ICD-10 Codes that Support Medical Necessity/ Group 1 Paragraph:” section of the billing and coding article as they were added in error during the process of moving the CPT/HCPCS codes from the LCD to the billing and coding article. The effective date of this revision is for dates of service on or after October 3, 2018.

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Associated Documents

Medicare BPM Ch 15.50.2 SAD Determinations
Medicare BPM Ch 15.50.2
Related National Coverage Documents
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SAD Process URL 2
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