G90 › G90.5 › G90.51

G90.511 Complex regional pain syndrome I of right upper limb

BillableNo payment HCCChapter 6

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Instructional notes

Chapter 6

Excludes2Not included here: the patient may have both; report both when both are present.

certain conditions originating in the perinatal period (P04-P96)
certain infectious and parasitic diseases (A00-B99)
complications of pregnancy, childbirth and the puerperium (O00-O9A)
congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
endocrine, nutritional and metabolic diseases (E00-E88)
injury, poisoning and certain other consequences of external causes (S00-T88)
neoplasms (C00-D49)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

G90

Excludes1Not coded here: never report with this code, except when the two conditions are unrelated.

dysfunction of the autonomic nervous system due to alcohol (G31.2)

G90.5

Excludes1Not coded here: never report with this code, except when the two conditions are unrelated.

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-)

Inclusion terms

Reflex sympathetic dystrophy

Chapter 6: Diseases of the nervous system · G89-G99 Other disorders of the nervous system (G89-G99)

Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.

Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.