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G57.13

Billable

Meralgia paresthetica, bilateral lower limbs

Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)

Is G57.13 an HCC code?

No. G57.13 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

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

What This Code Means

G57.13 is the ICD-10-CM diagnosis code for meralgia paresthetica, bilateral lower limbs. A condition causing burning pain and tingling in the outer thighs on both sides due to nerve compression. G57.13 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).

G57.13 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

Ensure bilateral involvement is clearly documented before assigning this code.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for G57.13 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Ensure bilateral involvement is clearly documented before assigning this code
  • Consider systemic causes or metabolic factors that may affect both sides

Code Hierarchy

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