G90.523
G90.523 — Complex regional pain syndrome I of lower limb, bilateral
Billable / specific codeICD-10-CMbilateral
G90.523 is a billable, specific ICD-10-CM code for complex regional pain syndrome i of lower limb, bilateral. It is valid for submission on a claim.
Risk adjustment
G90.523 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
G90.523 is named in 24 Medicare coverage policies — 24 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
Related codes at this level
Codes that share G90.52. If G90.523 is not quite right, the correct code is usually one of these.
Questions about G90.523
- Is G90.523 a billable ICD-10-CM code?
- Yes. G90.523 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does G90.523 sit in the tabular list?
- Diseases of the nervous system (G00-G99), in the block Other disorders of the nervous system (G89-G99).