G90.513
G90.513: Complex regional pain syndrome I of upper limb, bilateral
Billable / specific codeICD-10-CMbilateral
G90.513 is a billable, specific ICD-10-CM code for complex regional pain syndrome i of upper limb, bilateral. It is valid for submission on a claim.
Check G90.513 with the rest of the claim: free scrubberExcludes1 inherited from the categories above G90.513
A category’s note binds every code beneath it.
Written on G90.5: Complex regional pain syndrome I (CRPS I)
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
G90.513 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.