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G90.511

Billable

Complex regional pain syndrome I of right upper limb

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

What This Code Means

A chronic pain condition affecting the right arm or hand after injury, with swelling, skin color and temperature changes, and pain that seems worse than expected from the original injury.

Coding Tips

  • Confirm right upper limb involvement is clearly documented before coding
  • Include the precipitating injury code when identified and documented

Code Hierarchy

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