G54.7
BillablePhantom limb syndrome without pain
HCC Category Mapping
V28HCC 409 — Amputation Status, Lower Limb/Amputation Complications
0.350V24HCC 189 — Amputation Status, Lower Limb/Amputation Complications
0.350ESRDHCC 189 — Amputation Status, Lower Limb/Amputation Complications
0.000What This Code Means
A condition where a person feels sensations in a limb that has been amputated or lost, but without pain accompanying those sensations.
Coding Tips
- •Distinguish from G54.6 (phantom limb syndrome with pain) - this code is specifically for painless phantom sensations
- •Document which limb is affected if possible, though this code does not require laterality specification
Clinical Significance
Phantom limb syndrome without pain involves non-painful phantom sensations such as perceived movement, itching, pressure, or tingling in an amputated or absent limb. While less distressing than painful phantom limb syndrome, these sensations affect body image, rehabilitation progress, and prosthetic adaptation. This code carries the same HCC mappings as the painful variant (V28 HCC 409, V24 HCC 189, both RAF 0.350), reflecting ongoing neurological complexity.
Documentation Requirements
- ✓History of limb amputation or congenital limb absence
- ✓Description of phantom sensations: type (tingling, itching, movement, pressure, temperature, posture awareness)
- ✓Documentation that sensations are NOT painful (distinguishes from G54.6)
- ✓Frequency and impact on daily activities and prosthetic use
- ✓Assessment of body image adaptation and psychological impact
- ✓Any treatment being used for non-painful phantom sensations
- ✓Functional assessment related to prosthetic fitting and use
Commonly Confused Codes
G54.6 (Phantom limb syndrome with pain) — painful phantom sensations require the WITH pain code for clinical accuracyR20.2 (Paresthesia of skin) — generic sensory symptom; phantom limb sensation is specific to absent limbT87.30-T87.9 (Complications of reattached extremity/amputation stump) — stump-related issues, not phantom sensationsF45.8 (Other somatoform disorders) — phantom limb is a neurological phenomenon, not somatoformG54.4 (Lumbosacral root disorders) — nerve root pathology, not phantom limb phenomenon
Code Hierarchy
└G54Nerve root and plexus disorders└G54.7Phantom limb syndrome without pain
└G54.7Phantom limb syndrome without pain