If a bilateral code exists and the disorder is documented as bilateral, then the bilateral diagnosis code should be used. But if the documentation states the condition is bilateral, and there is not a bilateral diagnosis code, then use both the right and left codes.
But there is not a code for bilateral carpal tunnel syndrome. So if the patient has bilateral carpal tunnel syndrome, you will use both ICD-10-CM codes: G56.01 and G56.02. *This response is based on the best information available as of 09/10/15.
G56.02 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2020 edition of ICD-10-CM G56.02 became effective on October 1, 2019.
2022 ICD-10-CM Diagnosis Code G56.01 G56.01 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM G56.01 became effective on October 1, 2021. This is the American ICD-10-CM version of G56.01 - other international versions of ICD-10 G56.01 may differ.
Carpal tunnel syndrome, bilateral upper limbs G56. 03 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Having bilateral carpal tunnel syndrome means you feel the symptoms of pain, numbness or tingling in both hands or fingers at the same time. This isn't unusual. One of the well-known facts about carpal tunnel is that it usually happens on both hands.
CPT code 64721 describes a neuroplasty and/or transposition of the median nerve at the carpal tunnel and includes open release of the transverse carpal ligament. The procedure coded as CPT code 64721 includes the procedure coded as CPT code 29848 when performed on the same wrist at the same patient encounter.
The carpal tunnel syndrome is a bilateral disorder.
Bilateral CTS is common, although the dominant hand is usually affected first and more severely than the other hand. Complaints should be localized to the palmar aspect of the first to the fourth fingers and the distal palm (ie, the sensory distribution of the median nerve at the wrist).
Symptoms often occur in both hands, but they are usually worse in one hand than the other. You may first notice symptoms at night. People with carpal tunnel syndrome can usually fall asleep, but pain or numbness may wake them up.
04.43 Release of carpal tunnel - ICD-9-CM Vol. 3 Procedure Codes.
CPT 29848 and Carpal Tunnel Release CPT 64721 are allowed to bill together on the same date of service, and the modifier is allowed according to NCCI. Modifier 59 will be attached to CPT 29848. If the ulnar nerve's transposition or neuroplasty is performed, it will be reported with CPT 64719 instead of 64721.
ICD-10 Code for Carpal tunnel syndrome, left upper limb- G56. 02- Codify by AAPC.
Carpal tunnel syndrome (CTS) usually presents bilaterally and a secondary nature should be suspected in patients with unilateral symptoms, especially those with a long-standing history, and when the symptomatic hand shows severe neurophysiologic impairment, while the contralateral hand is neurophysiologically intact.
Increasingly there is a suggestion that carpal tunnel syndrome (CTS) is a bilateral disease with the reported incidence of between 16% and 87% and hence the enthusiasts favour bilateral simultaneous carpal tunnel decompression (CTD).
Carpal tunnel syndrome is caused by pressure on the median nerve. The median nerve runs from the forearm through a passageway in the wrist (carpal tunnel) to the hand. It provides sensation to the palm side of the thumb and fingers, except the little finger.
G56.03 is a valid billable ICD-10 diagnosis code for Carpal tunnel syndrome, bilateral upper limbs . It is found in the 2021 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2020 - Sep 30, 2021 .
DO NOT include the decimal point when electronically filing claims as it may be rejected. Some clearinghouses may remove it for you but to avoid having a rejected claim due to an invalid ICD-10 code, do not include the decimal point when submitting claims electronically.