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

ICD-10 G56.01

Billable / Specific

Carpal tunnel syndrome, right upper limb

G56
Block
0
Synonyms
706
LCDs
23
Payer Policies
41
Linked CPTs

About ICD-10-CM G56.01

ICD-10-CM code G56.01 represents Carpal tunnel syndrome, right upper limb. This is a billable/specific code in the Nervous System chapter (block G56). The 2026 edition of ICD-10-CM G56.01 became effective on October 1, 2025.

Medicare LCD Coverage for G56.01

Local Coverage Determinations (LCDs) from CMS MACs that list G56.01 as a covered diagnosis.

706 LCDs

Showing top 10 of 706 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95909 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95887 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95912 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95999 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95910 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95870 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95860 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95913 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95869 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT G0255 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing G56.01.

23 policies

1 Cigna

Electrodiagnostic Testing (EMG/NCV) - (CPG129)
Policy ID: CPG129_EMG_NCV_SSEP

5 Medicare

Billing and Coding: Pain Management - injection of tendon sheaths, ligaments, ganglion cysts, carpal and tarsal tunnels
Policy ID: ART-52863
Billing and Coding: Home Health Occupational Therapy
Policy ID: ART-53057
Billing and Coding: Home Health Physical Therapy
Policy ID: ART-53058
Billing and Coding: Outpatient Occupational Therapy
Policy ID: ART-53064
Billing and Coding: Outpatient Physical Therapy
Policy ID: ART-53065

CPT Codes Commonly Billed with G56.01

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

41 linkages
  • 64510 CMS LCD: Billing and Coding: Peripheral Nerve Blocks and Procedures for Chronic Pain CMS LCD
  • 64632 CMS LCD: Billing and Coding: Peripheral Nerve Blocks and Procedures for Chronic Pain CMS LCD
  • 64400 CMS LCD: Billing and Coding: Peripheral Nerve Blocks and Procedures for Chronic Pain CMS LCD
  • 64600 CMS LCD: Billing and Coding: Peripheral Nerve Blocks and Procedures for Chronic Pain CMS LCD
  • 64999 CMS LCD: Billing and Coding: Peripheral Nerve Blocks and Procedures for Chronic Pain CMS LCD
  • 64624 CMS LCD: Billing and Coding: Peripheral Nerve Blocks and Procedures for Chronic Pain CMS LCD
  • 64605 CMS LCD: Billing and Coding: Peripheral Nerve Blocks and Procedures for Chronic Pain CMS LCD
  • 64405 CMS LCD: Billing and Coding: Peripheral Nerve Blocks and Procedures for Chronic Pain CMS LCD
  • 64610 CMS LCD: Billing and Coding: Peripheral Nerve Blocks and Procedures for Chronic Pain CMS LCD
  • 64505 CMS LCD: Billing and Coding: Peripheral Nerve Blocks and Procedures for Chronic Pain CMS LCD

Convert G56.01 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
G56.01 3540 10000

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

ICD-10 G56.01, Billing FAQ

Is ICD-10 code G56.01 billable? +

Yes, G56.01 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 G56.01? +

Procedures frequently paired with G56.01 include: 64510, 64632, 64400, 64600, 64999.

What ICD-9 codes does G56.01 map to? +

Per CMS GEMs, G56.01 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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