G56.01
G56.01 — Carpal tunnel syndrome, right upper limb
Billable / specific codeICD-10-CMright
G56.01 is a billable, specific ICD-10-CM code for carpal tunnel syndrome, right upper limb. It is valid for submission on a claim.
Risk adjustment
G56.01 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
G56.01 is named in 24 Medicare coverage policies — 24 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52863Billing and Coding: Pain Management - injection of tendon sheaths, ligaments, ganglion cysts, carpal and tarsal tunnels
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
Related codes at this level
Codes that share G56.0. If G56.01 is not quite right, the correct code is usually one of these.
Questions about G56.01
- Is G56.01 a billable ICD-10-CM code?
- Yes. G56.01 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does G56.01 sit in the tabular list?
- Diseases of the nervous system (G00-G99), in the block Nerve, nerve root and plexus disorders (G50-G59).