Non-Billable / Non-Specific Code
ICD-10-CM G56.4 is the diagnosis code for Causalgia of upper limb. This code falls under the section "Nerve, nerve root and plexus disorders" within Chapter 6 — Diseases of the nervous system (G00-G99). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.
The following conditions should never be coded at the same time as G56.4. They are mutually exclusive:
Understanding where G56.4 sits in the ICD-10-CM classification helps ensure proper coding:
No, G56.4 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.
G56.4 is the ICD-10-CM diagnosis code for "Causalgia of upper limb". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
The parent code of G56.4 is G56 ("Mononeuropathies of upper limb"). G56.4 provides a more specific classification within this category.
G56.4 is located in Section G50-G59 — "Nerve, nerve root and plexus disorders" within Chapter 6 of the ICD-10-CM Tabular List.
G56.4 has 4 sub-code(s) that provide more specific detail: G56.40, G56.41, G56.42, G56.43.
Use G56.4 when the patients documented diagnosis matches "Causalgia of upper limb" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.
The ICD-10-CM code for Causalgia of upper limb is G56.4.
No, G56.4 is non-billable. Use a more specific sub-code for primary diagnosis billing.
G56.4 is in Chapter 6 of the ICD-10-CM Tabular List.
Type 1 Excludes for G56.4 include: complex regional pain syndrome I of lower limb (G90.52-); complex regional pain syndrome I of upper limb (G90.51-); complex regional pain syndrome II of lower limb (G57.7-) and more.
Yes, G56.4 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.