G90.59

G90.59: Complex regional pain syndrome I of other specified site

Billable / specific codeICD-10-CM

G90.59 is a billable, specific ICD-10-CM code for complex regional pain syndrome i of other specified site. It is valid for submission on a claim.

Check G90.59 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above G90.59

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

G90.59 is named in 21 Medicare coverage policies: 21 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

Alphabetic index entries that lead here

Syndrome›pain›complex regional I›specified site NEC

Code history

Unchanged in every release from FY2024 to FY2027.