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ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 G56.00

Billable / Specific

Carpal tunnel syndrome, unspecified upper limb

G56
Block
0
Synonyms
22
LCDs
10
Payer Policies
7
Linked CPTs

About ICD-10-CM G56.00

ICD-10-CM code G56.00 represents Carpal tunnel syndrome, unspecified upper limb. This is a billable/specific code in the Nervous System chapter (block G56). The 2026 edition of ICD-10-CM G56.00 became effective on October 1, 2025.

Medicare LCD Coverage for G56.00

Local Coverage Determinations (LCDs) from CMS MACs that list G56.00 as a covered diagnosis.

22 LCDs

Showing top 10 of 22 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Continuous Peripheral Nerve Blocks (CPNB)
Article ID: 56607, Effective: 2025-10-01 00:00:00, 604 covered, 0 non-covered
CPT 64416 →
CMS LCD: Billing and Coding: Continuous Peripheral Nerve Blocks (CPNB)
Article ID: 56607, Effective: 2025-10-01 00:00:00, 604 covered, 0 non-covered
CPT 64446 →
CMS LCD: Billing and Coding: Continuous Peripheral Nerve Blocks (CPNB)
Article ID: 56607, Effective: 2025-10-01 00:00:00, 604 covered, 0 non-covered
CPT 64448 →
CMS LCD: Billing and Coding: Continuous Peripheral Nerve Blocks (CPNB)
Article ID: 56607, Effective: 2025-10-01 00:00:00, 604 covered, 0 non-covered
CPT 64449 →
CMS LCD: Billing and Coding: Peripheral Nerve Blocks
Article ID: 57788, Effective: 2025-10-30 00:00:00, 1815 covered, 1 non-covered
CPT 64420 →
CMS LCD: Billing and Coding: Peripheral Nerve Blocks
Article ID: 57788, Effective: 2025-10-30 00:00:00, 1815 covered, 1 non-covered
CPT 64425 →
CMS LCD: Billing and Coding: Peripheral Nerve Blocks
Article ID: 57788, Effective: 2025-10-30 00:00:00, 1815 covered, 1 non-covered
CPT 64450 →
CMS LCD: Billing and Coding: Peripheral Nerve Blocks
Article ID: 57788, Effective: 2025-10-30 00:00:00, 1815 covered, 1 non-covered
CPT 64446 →
CMS LCD: Billing and Coding: Peripheral Nerve Blocks
Article ID: 57788, Effective: 2025-10-30 00:00:00, 1815 covered, 1 non-covered
CPT 64455 →
CMS LCD: Billing and Coding: Peripheral Nerve Blocks
Article ID: 57788, Effective: 2025-10-30 00:00:00, 1815 covered, 1 non-covered
CPT 64417 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing G56.00.

10 policies

5 Aetna

Orthopedic Casts, Braces and Splints - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0009
Peripheral Electrical Nerve Stimulation for Pain - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0011
Breast Reduction Surgery and Gynecomastia Surgery - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0017
Routine Foot Care - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0046
Chiropractic Services
Policy ID: CPB-0107

2 Medicare

Billing and Coding: Continuous Peripheral Nerve Blocks (CPNB)
Policy ID: ART-56607
Billing and Coding: Peripheral Nerve Blocks
Policy ID: ART-57788

CPT Codes Commonly Billed with G56.00

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

7 linkages
  • 95907 Nerve conduction study 1-2 — carpal tunnel, ulnar neuropathy, sciatica, polyneuropathy, Guillain-Barre, diabetic neuropathy, hereditary neuropathy Neurology
  • 95910 Nerve conduction study 5-6 — same plus myasthenia gravis Neurology
  • 95886 EMG each extremity — carpal tunnel, sciatica, neuropathy, radiculopathy, muscular dystrophy, ALS, MS, diabetic neuropathy, hereditary neuropathy, myalgia Neurology
  • 64448 CMS LCD: Billing and Coding: Continuous Peripheral Nerve Blocks (CPNB) CMS LCD
  • 64449 CMS LCD: Billing and Coding: Continuous Peripheral Nerve Blocks (CPNB) CMS LCD
  • 64416 CMS LCD: Billing and Coding: Continuous Peripheral Nerve Blocks (CPNB) CMS LCD
  • 64446 CMS LCD: Billing and Coding: Continuous Peripheral Nerve Blocks (CPNB) CMS LCD

Convert G56.00 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
G56.00 3540 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 G56.00, Billing FAQ

Is ICD-10 code G56.00 billable? +

Yes, G56.00 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What CPT codes are commonly billed with G56.00? +

Procedures frequently paired with G56.00 include: 95907, 95910, 95886, 64448, 64449.

What ICD-9 codes does G56.00 map to? +

Per CMS GEMs, G56.00 maps to ICD-9 codes: 3540. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on July 16, 2026.

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