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G56.40

Billable

Causalgia of unspecified upper limb

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Severe burning pain in an unspecified arm caused by nerve damage, often following injury or trauma.

Coding Tips

  • Causalgia is a specific type of neuropathic pain; ensure the diagnosis specifically states causalgia rather than general nerve pain
  • Attempt to determine laterality; if specified, use G56.41 (right) or G56.42 (left) instead of the unspecified code

Code Hierarchy

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