MCMedicalCodingSoftware
G90.511

G90.511: Complex regional pain syndrome I of right upper limb

Billable / specific codeICD-10-CMright

G90.511 is a billable, specific ICD-10-CM code for complex regional pain syndrome i of right upper limb. It is valid for submission on a claim.

Check G90.511 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above G90.511

A category’s note binds every code beneath it.

Written on G90.5: Complex regional pain syndrome I (CRPS I)

  • causalgia of lower limb (G57.7-)
  • causalgia of upper limb (G56.4-)
  • complex regional pain syndrome II of lower limb (G57.7-)
  • complex regional pain syndrome II of upper limb (G56.4-)

Written on G90: Disorders of autonomic nervous system

  • dysfunction of the autonomic nervous system due to alcohol (G31.2)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

G90.511 is named in 26 Medicare coverage policies: 26 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A53057Billing and Coding: Home Health Occupational Therapy
  • A53058Billing and Coding: Home Health Physical Therapy
  • A53064Billing and Coding: Outpatient Occupational Therapy
  • A53065Billing and Coding: Outpatient Physical Therapy

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under G90.51

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.