T87.34
BillableNeuroma of amputation stump, left lower extremity
HCC Category Mapping
V28HCC 409 — Amputation Status, Lower Limb/Amputation Complications
0.350V24HCC 189 — Amputation Status, Lower Limb/Amputation Complications
0.350ESRDHCC 189 — Amputation Status, Lower Limb/Amputation Complications
0.000What This Code Means
A painful nerve growth (neuroma) that develops at the site of a left leg amputation, causing nerve-related pain and sensitivity.
Coding Tips
- •Ensure correct laterality (left) is documented in the medical record before coding
- •Consider coding any associated pain separately if it is a significant clinical concern
Clinical Significance
Neuroma of amputation stump represents a significant complication that causes severe neuropathic pain and functional disability, requiring specialized pain management and potentially surgical revision. This diagnosis indicates active post-amputation complications that substantially impact patient quality of life and may prevent prosthetic use.
Documentation Requirements
- ✓Clear documentation of amputation stump location (left lower extremity)
- ✓Clinical evidence of neuroma formation at amputation site
- ✓Pain assessment and characteristics (neuropathic pain patterns)
- ✓Physical examination findings at stump site
- ✓Impact on functional status or prosthetic fitting
- ✓Treatment plan including pain management strategies
- ✓Relationship to previous amputation procedure
- ✓Current symptom severity and duration
Commonly Confused Codes
T87.33 — Right lower extremity neuroma vs left lower extremityT87.31-T87.32 — Upper extremity neuroma vs lower extremity locationG89.28 — Chronic pain due to trauma, may be coded additionally for pain managementT87.44 — Infection of amputation stump vs neuroma formationZ89.512 — Acquired absence of left leg below knee (status code, not complication)
Code Hierarchy
└T87Complications peculiar to reattachment and amputation└T87.3Neuroma of amputation stump└T87.34Neuroma of amputation stump, left lower extremity
└T87.34Neuroma of amputation stump, left lower extremity