G90.513
BillableComplex regional pain syndrome I of upper limb, bilateral
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 both arms or hands after injury, with swelling, skin color and temperature changes, and pain that seems worse than expected from the original injury.
Coding Tips
- •Bilateral coding requires documentation of symptoms in both upper limbs
- •Include the precipitating injury code when identified and documented
Code Hierarchy
└G90Disorders of autonomic nervous system└G90.5Complex regional pain syndrome I (CRPS I)└G90.51Complex regional pain syndrome I of upper limb└G90.513Complex regional pain syndrome I of upper limb, bilateral
└G90.513Complex regional pain syndrome I of upper limb, bilateral