Cpt code for carpal tunnel release

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Cpt code for carpal tunnel release. 25109= excision of tendon in forearm, flexor or ext ensor. 24910= nerve repair with conduit 64911= neurorrhaphy w/veingraft. 69990 is inclusive to above nerve repairs, not allowable. Other newer CPT codes. 24910= nerve repair with conduit. 69990 is inclusive to above nerve repairs, not allowable.

Hello, I hava Surgery for Carpal Tunnel with injections that I am trying to apply the modifiers correctly and am asking for some help. Procedures performed were: Rt carpal tunnel release. Left trigger thumb Left small finger trigger digit injection Left trigger thumb injection. I applied: Carpal tunnel surgery 64721 RT

Best answers. 0. Feb 4, 2010. #1. Post Op: Right Carpal Tunnel Syndrome. Procedure: Right Carpal Tunnel Release. Procedure: The patient was gave general anesthesia. Right upper extremity was prepped and drapped. An Esmarch wrap was applied in the proximal arm, tourniquet was inflated to 300 mmHg. Endoscopic approaches are usually associated with less postoperative pain and a faster return to work, but also with increased risk of nerve injury and incomplete release. Step 1. Step 2. Step 3. Step 4. Step 5. The incisionless technique — known as thread ultrasound-guided carpal tunnel release — is performed by Dr. Shin and Jeffrey S ...Code for Endoscopic carpal tunnel release is 29848. 64721. 64721-rt. Helps prevent carpal tunnel. Yes, wrist rests can indeed protect someone from the carpal tunnel syndrome because the repetitive ...A6570. Carpal tunnel release (endoscopic) - bilateral. Pre Sept 2014. A6580. Carpal tunnel release (open) - bilateral. Pre Sept 2014. A6600. Release of entrapment of deeply placed peripheral nerve. Pre Sept 2014.CPT - 11760 – Repair of Nail Bed. CPT – 25215 – Carpectomy; all bones of proximal row. CPT – 64721 – Neuroplasty (carpal tunnel release) Hand Surgery. Carpal Tunnel Release. 64721. “Neuroplasty and/or transposition; median nerve at carpal tunnel”. Endoscopic Carpal Tunnel Release.Carpal Tunnel Release Surgical Procedures: Open Carpal Tunnel Release Open carpal tunnel release surgery is the traditional procedure used to correct carpal tunnel syndrome by the decompression of the median nerve. Decompression is achieved via an incision through the transverse carpal ligament, thereby enlarging the carpal canal and relieving …Elon Musk’s tunnel startup The Boring Company plans to begin “full-scale” testing of hyperloop, a still theoretical transportation system that sends passengers in autonomous electr...

Per CPT Assistant, December 2013 Page: 14 Category: Frequently Asked Questions: Surgery: Nervous System Question: Does code 64721, Neuroplasty and/or transposition; median nerve at carpal tunnel, include the work of wrapping the median nerve with a nerve conduit? Answer: No. Code 64721 does not include nerve wrapping. If nerve wrapping is ... CPT 64721 is a surgical procedure code that refers to neuroplasty and/or transposition of the median nerve at the carpal tunnel. This procedure is typically used to treat carpal tunnel syndrome, a condition caused by compression of the median nerve within the carpal tunnel in the wrist. The official description for CPT code 64721 is ... Jan 10, 2008 · Answer: Code 64721 is the appropriate code to report the carpal tunnel release; however, there is no specific code for fat pad coverage of the median nerve. If the size of the fat pad and the amount of work involved are significant, then modifier 22, Increased Procedural Services, may be appended to code 64721. CPT codes are used to document treatment options. 20526 – Injection, therapeutic; carpal tunnel; Carpal tunnel release surgery is recommended by orthopedic surgeons only if non-surgical options do not work and if symptoms still exist. The surgery can be endoscopic or open and both the techniques are equally effective.Best answers. 1. Jul 7, 2010. #4. revision Ulnar release. Robin, Good answer, but I think she already knows that from just looking in the CPT index. FYI, the ulnar nerve weaves in/out of several areas up/down the arm affecting several assumptions. Most generally, when the ulnar is involved, it is usually entrapment of some type and usually at ...Operative technique and anesthetic modality utilized in carpal tunnel release (CTR) vary by surgeon preference and patient factors. ... (CPT) codes for open (CPT-64721) and endoscopic CTR (CPT-29848) in combination with general/regional or local anesthetic types. The database provides data on age, gender, number of procedures …Even though the CPT code for carpal tunnel injection falls in the musculoskeletal surgery section of the codebook, only a few payers or providers view this injection as a 'surgery,'" Hammer relays. A solid 20526 claim "should indicate all methods of 'non-operative' treatment that have been tried prior to the decision that surgery was needed ...

Therefore, carpal tunnel release (CTR) represents one of the most commonly performed surgical procedures, with more ... (CPT) code 64721 and International Classification of Disease ICD-9 code 04.43. ECTR was identified by CPT code 29848. CTS was identified by ICD-9 code 354.0.The mean interval between primary and secondary carpal tunnel release (CTR) was 1 year and 6 months (11–36 months). All patients underwent a minimum of 1-year follow-up after SCTR (mean, 14 months; range, 12–19 months). The findings that were revealed during the secondary carpal revision are illustrated in Figure ...MCTR mini-open carpal tunnel release, OCTR Open carpal tunnel release. In the overall collective, no iatrogenic vascular, nerve branch or tendon injuries were documented. One partial median nerve lesion on the palmar aspect was to verify in the MCTR group, following by extending the incision and direct nerve repair via micro-neurosurgical ...Price: $3,205 CPT Code: 64721. Release of the transverse carpal ligament is known as “carpal tunnel release” surgery. It is recommended when there is static (constant, not just intermittent) numbness, muscle weakness, or atrophy, and when night-splinting no longer controls intermittent symptoms.

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The mean interval between primary and secondary carpal tunnel release (CTR) was 1 year and 6 months (11–36 months). All patients underwent a minimum of 1-year follow-up after SCTR (mean, 14 months; range, 12–19 months). The findings that were revealed during the secondary carpal revision are illustrated in Figure ...In the world of medical billing and coding, accuracy is crucial. One small error in assigning a Current Procedural Terminology (CPT) code can lead to significant consequences, incl...In this prospective cross-sectional study of patients undergoing carpal tunnel release surgery, Congo red staining identified 10% of patients having amyloid deposits. Subsequent cardiac evaluation identified two patients with myocardial involvement, which led to disease-modifying targeted therapy.

Carpal tunnel release is a surgery to treat carpal tunnel syndrome. Carpal tunnel syndrome is a common disorder caused by compression of the median nerve in the wrist. It can lead to pain, numbness, and sometimes disability of the hands. Carpal tunnel surgery involves relieving pressure on the median nerve by cutting part of the carpal …Per CPT Assistant, December 2013 Page: 14 Category: Frequently Asked Questions: Surgery: Nervous System Question: Does code 64721, Neuroplasty and/or transposition; median nerve at carpal tunnel, include the work of wrapping the median nerve with a nerve conduit? Answer: No. Code 64721 does not include nerve wrapping. …In the healthcare industry, accurate documentation and coding are crucial for maximizing revenue and ensuring proper reimbursement. One important aspect of this process is the Nati...The Israeli reason for the controversial military invasion of Gaza is, at least officially, about one critical piece of infrastructure: Tunnels used to smuggle people, goods and we...The physician did an open carpal tunnel release. He deepened the incision through the subcutaneous fat. Then there was a lipoma present over the transverse carpal tunnel ligament in which he removed. Can you bill the removal of the lipoma in addition to the carpal tunnel release? If so what CPT code would be billed for the lipoma? 25075? …Carpal tunnel is the most common peripheral compressive neuropathy. Nonoperative management may provide temporary alleviation of symptoms, but in most cases surgical decompression is warranted. There are a multitude of approaches ranging from open release under general anesthesia to wide awake in-office endoscopic carpal tunnel …The Israeli reason for the controversial military invasion of Gaza is, at least officially, about one critical piece of infrastructure: Tunnels used to smuggle people, goods and we...Endoscopic approaches are usually associated with less postoperative pain and a faster return to work, but also with increased risk of nerve injury and incomplete release. Step …

Open reduction left small finger proximal phalanx fracture. Underlying fracture site was identified and the fibrous tissue hematoma within the fracture site and small piece of bone was removed. Fracture site was reduced by rotating the fracture and pulling on the finger. Study with Quizlet and memorize flashcards containing terms like 29881-RT ...

Carpal Tunnel Syndrome Carpal tunnel syndrome (CTS) affects an estimated 13 million 1 Americans causing pain and keeping people from work and the activities they love. More than 2.7 million 2 are clinically indicated for surgery, yet there are only approximately 400,000 3 procedures performed every year.The 2 general techniques used are: In general, the anesthesia you get depends on the type of surgery you have. That means the surgery can be: open carpal tunnel release surgery. endoscopic carpal tunnel release surgery. The actual surgical procedure for either technique is very similar. And you go through similar surgical stages.Carpal tunnel - This is a passageway that runs from the forearm through the wrist. The median nerve and nine tendons pass through the tunnel. ... Based on the annual 2016 HCPCS update, the description for CPT code 20553 has changed. Revisions Due To CPT/HCPCS Code Changes; 10/01/2015 ...Jun 1, 2022 · MCTR mini-open carpal tunnel release, OCTR Open carpal tunnel release. In the overall collective, no iatrogenic vascular, nerve branch or tendon injuries were documented. One partial median nerve lesion on the palmar aspect was to verify in the MCTR group, following by extending the incision and direct nerve repair via micro-neurosurgical ... Carpal tunnel release is usually an outpatient procedure. That means that you can go home the same day as the surgery if all goes well. There are 2 types of carpal tunnel release surgery. The traditional method is the open release, in which the surgeon cuts open the wrist to do the surgery. The other method is endoscopic carpal tunnel release.The expected recovery time from carpal tunnel surgery depends on whether the dominant or nondominant hand is involved. Recovery times range from one or two days up to four or more ... Carpal Tunnel Release CPT. 64721. 29848. Carpal Tunnel Release Indications. Carpal tunnel syndrome. Carpal tunnel syndrome in elderly patients. Carpal Tunnel Release Contraindications. Infection. Medically unstable patient. Best answers. 0. May 21, 2013. #3. There is a “percutaneous” procedure (without use of endoscopic visualization) for a carpal tunnel release using a device known as the Manos carpal tunnel release system. This percutaneous procedure is neither endoscopic nor open and would be reported with CPT code 64999 – Unlisted procedure, nervous system.

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I'm very new to ASC billing and I have never coded carpal tunnel procedures. The provider is stating procedure performed: 1. Flexor Tenosynovectomy, right wrist. 2. Carpal tunnel release, right wrist. Curvilinear skin incision on the volar aspect of the right wrist was made and the subcutaneous tissue was incised. Proximally, …CPT Code 64719, Surgical Procedures on the Extracranial Nerves, Peripheral Nerves, and Autonomic Nervous System, Neuroplasty (Exploration, Neurolysis ... one of the doctors at our facility performed a carpal tunnel release with a cubital tunnel release at the elbow and a Guyon Canyon release. I don't believe there are any bundling issues with ...[I]CPT[/I] ASSISTANT August 2009 Page 11 Coding Consultation Question: A patient is seen for recurrent carpal tunnel syndrome. The physician performs a revision right carpal tunnel release with a lo...No NCCI Edits for this code. 2. 64721 WARNING RVU: 12.05 Description: Neuroplasty and/or transposition; median nerve at carpal tunnel NCCI Edit Results: Edit exists with 25020. 64721 is a Column 2 code. If both 25020 and 64721 are submitted, only 25020 will be paid.As we’ve made our way through this pandemic, it has forced businesses to rethink and accelerate trends. One such trend is the movement to no-code tools to allow line-of-business us...Transverse carpal ligament was divided for 5mm on its proximal edge to open the canal. The Segway endoscopic carpal tunnel system was used to assist in the carpal tunnel release. The soft tissue elevator was used to elevate the soft tissue from the undersurface of the ligament. Several blunt dilators were used to dilate the canal.Endoscopic carpal tunnel release: attributes - group1: Direct morphology: Entrapment with compression 609445005: Procedure site - Direct: Structure of median nerve of wrist region 244458002: Method: ... Rules-based maps relating CPT® codes to and from SNOMED CT® clinical concepts.SmartRelease. ECTR. SmartRelease ECTR is a minimally invasive endoscopic surgical approach to relieve symptoms of Carpal Tunnel Syndrome, with indications for Carpal and Cubital Tunnel Release, Trigger Finger Release, Plantar Fascia Release, and Gastrocnemius Recession. Media error: Format (s) not supported or source (s) not found.Endoscopic approaches are usually associated with less postoperative pain and a faster return to work, but also with increased risk of nerve injury and incomplete release. Step …Patients that proceeded directly to surgery were selected using the same resource as the injection cohort with selection based on a CPT code for diagnosis of carpal tunnel syndrome (ICD-9 354.0) and open carpal tunnel release (64721) or endoscopic carpal tunnel release (29848).1. left volar ganglion cyst. 2. Flexor tendinitis. Procedure performed: Tenolysis of flexor carpi radialis. A zigzag incision over the radiocarpal joint was carried out and extended to the base of the thrumb and the reinaculum of the wrist was incised to expose the flexor carpi radialis and its course, and there was no evidence of a ganglion ... ….

SmartRelease. ECTR. SmartRelease ECTR is a minimally invasive endoscopic surgical approach to relieve symptoms of Carpal Tunnel Syndrome, with indications for Carpal and Cubital Tunnel Release, Trigger Finger Release, Plantar Fascia Release, and Gastrocnemius Recession. Media error: Format (s) not supported or source (s) not found.This database contains current procedural terminology (CPT) and International Classification of Diseases, Ninth Revision (ICD-9) codes. Patients who underwent OCTR were identified by Current Procedural Terminology (CPT) code 64721 and International Classification of Disease ICD-9 code 04.43. ECTR was identified by CPT code 29848. CTS was ...Introduction. The carpal tunnel syndrome (CTS) is the most frequently encountered compressive neuropathy 1 – 6 with a reported prevalence of 3.8% in the general population 7.The described prevalence of CTS varies according to the used diagnostic criteria 7.It is well known that certain risk factors 8 as well as occupational …Meet the team setting a new standard for carpal tunnel release surgery. Book an Appointment. Revolutionizing Carpal Tunnel Release Surgery. In the past, people were faced with a difficult choice: suffer with carpal tunnel syndrome or endure a long, painful recovery from surgery. At Ovation Hand Institute, we are showing people there is a …The connection -- dubbed Boris' Burrow due to the prime minister's enthusiastic backing -- would span from Larne in Northern Ireland to Stranraer in Scotland and be roughly the sam...855-695-4872 Outside of Maryland. +1-410-502-7683 International. Find a Doctor. Carpal tunnel release is surgery to treat carpal tunnel syndrome. During this surgery, the surgeon cuts through a ligament in the wrist to make more room for nerves and tendons to pass through.Introduction. The carpal tunnel syndrome (CTS) is the most frequently encountered compressive neuropathy 1 – 6 with a reported prevalence of 3.8% in the general population 7.The described prevalence of CTS varies according to the used diagnostic criteria 7.It is well known that certain risk factors 8 as well as occupational …Endoscopic carpal tunnel release (29848) Direct repair of aneurysm or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, false aneurism and associated occlusive disease, radial or ulnar artery (35045) Cpt code for carpal tunnel release, Coding, Reimbursement ... Clinical Practice Guideline on Carpal Tunnel Syndrome. Clinical practice guidelines (CPG) provide evidence-based recommendations for current orthopaedic diagnostic, treatment, and postoperative procedures. ... AAOS Now: Face Off: Open Versus Endoscopic Carpal Tunnel Release. AAOS Now: Academy Updates …, Carpal Tunnel Release CPT code is 64721 and is used to report services when an open procedure is performed to release the median (carpal tunnel) nerve and alleviate pain by freeing tissues surrounding the nerve. , 1. left volar ganglion cyst. 2. Flexor tendinitis. Procedure performed: Tenolysis of flexor carpi radialis. A zigzag incision over the radiocarpal joint was carried out and extended to the base of the thrumb and the reinaculum of the wrist was incised to expose the flexor carpi radialis and its course, and there was no evidence of a ganglion ..., Please advise if the following codes are appropriate for the operative note listed: 24579, 25607-51, 64721-51 ... carpal tunnel release, and exploration of ulnar nerve. GROSS FINDINGS AND TECHNIQUES ... As we got towards the carpal tunnel, it was quite tight. A strand of his carpal ligament was quite thickened., After that he proceeded with the carpal tunnel release by making a seperate inscicion. My question is it correct for the 1st dorsal extensor compartment release CPT to be 25000 or 25020. And if either of these codes can be billed with the carpal tunnel release 64721. NCCI edits state a modifier may be used but I am not sure in what …, 28035 Release, tarsal tunnel (posterior tibial nerve decompression) 10.47 $362 64702 Neuroplasty; digital, 1 or both, same digit 15.14 $524 ... median nerve at carpal tunnel 12.97 $449 64722 Decompression: unspecified nerve(s) (specify) 10.70 $370 ... The CPT codes in this Guide are unilateral procedures. If performed bilaterally, some payors ..., Lance Tavana, M.D., an associate professor at MUSC and program ... Tavana has been performing endoscopic carpal tunnel release surgery since he started his career ..., I need help coding the following: I don't know if I should code 64721,26440 and 26415, one or the other or what quantity. Right carpal tunnel release, exploration flexor tendons in right palm, side to side repair FDP ring finger to FDP long finger, end to side repair FDP right small finger..., Excision of neuroma; hand or foot, each additional nerve, except same digit (list separately by this number) (64783) Carpal tunnel syndrome (354.0) Endoscopic carpal tunnel release (29848) Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) Carpectomy; one bone (25210), CPT Codes. Injection, therapeutic; carpal tunnel (20526) Endoscopic carpal tunnel release (29848) Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) Neuroplasty, major peripheral nerve, arm or leg; other than specified (64708) Tenotomy, open flexor or extensor tendon, forearm and/or wrist, single, each tendon (25290) , Thanks to the efforts of in-house coders Gina and Adam, we've released several programs, scripts, and extensions in the hope that they've made your life easier. Now we want to know..., In open carpal tunnel release, a hand surgeon makes a 2 to 3 cm incision in the palm directly over the carpal tunnel and cuts the transverse carpal ligament from the outside in. Endoscopic tunnel release. In endoscopic carpal tunnel release, a hand surgeon makes a small (less than 1 cm) incision in the wrist area and uses a camera and ..., CPT Code Vascular Procedures Current “built-in” visits during the global period 35301 Carotid endarterectomy 2 hospital, 2 office CPT Code Peripheral Procedures Current “built-in” visits during the global period 63650 63685 64555 64561 64581 64590 64633 64635 64718 64721 Percutaneous epidural lead placement, Study with Quizlet and memorize flashcards containing terms like The physician performed a carpal tunnel release on the right and left median nerves during the same operative session. What is a correct modifier?, In CPT, a bullet (a solid circle) next to a code indicates a(n):, When listing multiple procedures, the coder should and more., 25109= excision of tendon in forearm, flexor or ext ensor. 24910= nerve repair with conduit 64911= neurorrhaphy w/veingraft. 69990 is inclusive to above nerve repairs, not allowable. Other newer CPT codes. 24910= nerve repair with conduit. 69990 is inclusive to above nerve repairs, not allowable., 1. What is CPT 29848? CPT 29848 is a surgical code used to describe an endoscopic procedure for treating carpal tunnel syndrome. The procedure involves the release of the transverse carpal ligament to reduce compression on the median nerve in the carpal tunnel, which results in pain and numbness., Endoscopic approaches are usually associated with less postoperative pain and a faster return to work, but also with increased risk of nerve injury and incomplete release. Step 1. Step 2. Step 3. Step 4. Step 5. The incisionless technique — known as thread ultrasound-guided carpal tunnel release — is performed by Dr. Shin and Jeffrey S ... , Procedure codes (OPCS) Main A651 Carpal tunnel release Potential A658 Other specified release of entrapment of peripheral nerve at wrist A659 Unspecified release of entrapment of peripheral nerve at wrist. Diagnosis codes (ICD) G560 Carpal tunnel syndrome. Additional Exclusions, Discussion. The main finding of the present study was that both the extended and mini-open carpal tunnel release techniques provided similar functional and symptom severity scores. However, extended release led to a higher rate of incision-related complications (n=7) compared to the mini-open (n=1) technique., Carpal tunnel release is usually an outpatient procedure. That means that you can go home the same day as the surgery if all goes well. There are 2 types of carpal tunnel release surgery. The traditional method is the open release, in which the surgeon cuts open the wrist to do the surgery. The other method is endoscopic carpal tunnel release., The 3 independent coders all chose a single Current Procedural Terminology code for the carpal tunnel release, distal radius fracture, and scaphoid nonunion cases. The percentages of physician responses that selected only these codes were 84.6% (carpal tunnel release), 61.0% (distal radius fracture), and 73.6% (scaphoid nonunion)., Dec 11, 2017. #6. AlanPechacek said: For what it is worth, a Carpal Tunnel Release is a Carpal Tunnel Release, 64721, regardless of the technique (totally open, partially open, percutaneous, etc. since they all require an incision of some size or type), except for Endoscopic/Arthroscopic which has its own code, 29848., 64721 (neuroplasty and/or transposition; median nerve at carpal tunnel) 29848 (endoscopy, wrist, surgical, with release of transverse carpal ligament) 64999 (unlisted procedure, nervous system) Answer: Understanding how a procedure is performed is key to the correct code choice. Because the procedure is done through two small punctures, it ..., Splinting, local steroid injection and carpal tunnel release (CTR) are all recommended treatment options for this condition (4, 5). ... County residents. Our selection was based on a Current Procedural Terminology (CPT) code for diagnosis of carpal tunnel syndrome (ICD-9 354.0) and carpal tunnel injection (CPT 20526). The REP list of patients ..., Carpal tunnel syndrome. Surg Neurol. 1997 Feb;47(2):105-14. PMID: 9040809. Watchmaker GP, Weber D, Mackinnon SE. Avoidance of transection of the palmar cutaneous branch of the median nerve in carpal tunnel release. J Hand Surg Am. 1996 Jul;21(4):644-50. PMID: 8842959. Deune EG, Mackinnon SE. Endoscopic carpal tunnel …, The carpal tunnel is formed by the wrist bones on the bottom and the transverse carpal ligament across the top (or inside) of the wrist. Swelling of the tissues within the tunnel can press on the median nerve when this part of the body is injured or tight. This causes numbness and tingling of the hand, pain, and loss of function if not treated., Jul 8, 2016 · Operative technique and anesthetic modality utilized in carpal tunnel release (CTR) vary by surgeon preference and patient factors. Endoscopic and open CTR techniques have been described with similar results in symptom relief and functional improvement. 11, 14, 18 Endoscopic CTR may be associated with a more rapid return to daily activities and ... , The mean interval between primary and secondary carpal tunnel release (CTR) was 1 year and 6 months (11–36 months). All patients underwent a minimum of 1-year follow-up after SCTR (mean, 14 months; range, 12–19 months). The findings that were revealed during the secondary carpal revision are illustrated in Figure ..., Oct 4, 2016 · is the most sensitive test to diagnose carpal tunnels syndrome press thumbs over the carpal tunnel and hold pressure for 30 seconds. onset of pain or paresthesia in the median nerve distribution within 30 seconds is a positive result. evaluate other sites of MN compression , CPT - 11760 – Repair of Nail Bed. CPT – 25215 – Carpectomy; all bones of proximal row. CPT – 64721 – Neuroplasty (carpal tunnel release) Hand Surgery. Carpal Tunnel Release. 64721. “Neuroplasty and/or transposition; median nerve at carpal tunnel”. Endoscopic Carpal Tunnel Release., 0. Jul 22, 2008. #2. Hopefully this will help-its from the CPT assistant. Nervous System, Surgery, 64702-64727 (Q&A) Body: Coding Consultation. Question. Code 64727 describes internal neurolysis. The parenthetical note following this code states that neuroplasty includes external neurolysis., The published revision rates after carpal tunnel release (CTR) vary from 0.3% to 7%. The explanation for this variation may not be fully apparent. ... The CPT code 64708 was included to potentially identify revision surgeries; only cases with the CPT codes 64721 or 29848 were considered primary CTR. Only procedures with the corresponding ..., Carpal tunnel syndrome, right upper limb. G56.01 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2024 edition of ICD-10-CM G56.01 became effective on October 1, 2023. This is the American ICD-10-CM version of G56.01 - other international versions of ICD-10 G56.01 may differ.