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G56 ICD-10-CM Code: Mononeuropathies of upper limb

ICD-10-CM Code View

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FY 2026 Apr update / Diseases of the nervous system (G00-G99) / Nerve, nerve root and plexus disorders (G50-G59)

G56

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Mononeuropathies of upper limb

Mononeuropathies of upper limb

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
G5Nerve, nerve root and plexus disorders (G50-G59)
G56Mononeuropathies of upper limb

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for G56 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for G56 in this effective period.

Related Child Codes

Official
G56.0Carpal tunnel syndrome
G56.1Other lesions of median nerve
G56.2Lesion of ulnar nerve
G56.3Lesion of radial nerve
G56.4Causalgia of upper limb

Includes

Official

ICD-10-CM does not list Includes notes for G56 in this effective period.

Excludes 1

Official
  • current traumatic nerve disorder - see nerve injury by body region

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for G56 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for G56 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for G56 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Coder workflow notes

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What This Code Means

G56 is the ICD-10-CM diagnosis code for mononeuropathies of upper limb. G56 sits in the ICD-10-CM chapter for diseases of the nervous system (g00-g99), within the section covering nerve, nerve root and plexus disorders (g50-g59).

Header codes like G56 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at G56's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for G56 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • current traumatic nerve disorder - see nerve injury by body region

Child Codes

Code Hierarchy

G56Mononeuropathies of upper limb
G56Mononeuropathies of upper limb

Work G56 in HCC Buddy

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