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

ICD-10 G83.22

Billable / Specific HCC v28: 104

Monoplegia of upper limb affecting left dominant side

G83
Block
0
Synonyms
869
LCDs
27
Payer Policies
2
Linked CPTs

About ICD-10-CM G83.22

ICD-10-CM code G83.22 represents Monoplegia of upper limb affecting left dominant side. This is a billable/specific code in the Nervous System chapter (block G83). The 2026 edition of ICD-10-CM G83.22 became effective on October 1, 2025.

Coding Tips for G83.22

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

HCC capture: document with MEAT each year

G83.22 is a CMS-HCC v28 risk-adjustment code (category 104). To count for the patient Risk Adjustment Factor (RAF), document the diagnosis with MEAT language each calendar year: Monitored, Evaluated, Assessed, Treated. A diagnosis on the problem list alone does not satisfy CMS RADV audit standards. Include the diagnosis in the assessment with current status and current treatment plan.

Medicare Advantage HCC Impact

CMS-HCC v28 (current)
Category 104
ESRD-HCC
Category 104
RxHCC (Part D)
Category 104

Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.

Medicare LCD Coverage for G83.22

Local Coverage Determinations (LCDs) from CMS MACs that list G83.22 as a covered diagnosis.

869 LCDs

Showing top 10 of 869 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 G83.22.

27 policies

1 Cigna

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

5 Medicare

Billing and Coding: Non-Invasive Cerebrovascular Arterial Studies
Policy ID: ART-52992
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 G83.22

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

2 linkages
  • 93882 CMS LCD: Billing and Coding: Non-Invasive Cerebrovascular Arterial Studies CMS LCD
  • 91125 CMS LCD: Billing and Coding: Pelvic Floor Dysfunction: Anorectal Manometry and EMG CMS LCD

Convert G83.22 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
G83.22 34441 10000

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

ICD-10 G83.22, Billing FAQ

Is ICD-10 code G83.22 billable? +

Yes, G83.22 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

Does G83.22 affect Medicare Advantage HCC risk adjustment? +

Yes. G83.22 maps to CMS-HCC v28 category 104. Capture this diagnosis annually for accurate Medicare Advantage risk score.

What CPT codes are commonly billed with G83.22? +

Procedures frequently paired with G83.22 include: 93882, 91125.

What ICD-9 codes does G83.22 map to? +

Per CMS GEMs, G83.22 maps to ICD-9 codes: 34441. 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 May 31, 2026.

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