Notification



Notification Issue Date:



Policy Attachment



Attachment to Policy # 07.03.09p


Attachment:J

Policy #:07.03.09p

Description:ICD-10 Codes

Title:Electromyography (EMG) Studies: Needle EMG, Surface EMG (SEMG)


Inclusion of a code in this table does not imply reimbursement. Eligibility, benefits, limitations, exclusions, precertification/referral requirements, provider contracts, and Company policies apply.

The codes listed below are updated on a regular basis, in accordance with nationally accepted coding guidelines. Therefore, this policy applies to any and all future applicable coding changes, revisions, or updates.

In order to ensure optimal reimbursement, all health care services, devices, and pharmaceuticals should be reported using the billing codes and modifiers that most accurately represent the services rendered, unless otherwise directed by the Company.


THE FOLLOWING CODES REPRESENT INDICATIONS THAT SUPPORT MEDICAL NECESSITY
ICD-10Code Narrative
S54.8X1SInjury of other nerves at forearm level, right arm, sequela
S54.8X2AInjury of other nerves at forearm level, left arm, initial encounter
S54.8X2DInjury of other nerves at forearm level, left arm, subsequent encounter
S54.8X2SInjury of other nerves at forearm level, left arm, sequela
S54.8X9AInjury of other nerves at forearm level, unspecified arm, initial encounter
S54.8X9DInjury of other nerves at forearm level, unspecified arm, subsequent encounter
S54.8X9SInjury of other nerves at forearm level, unspecified arm, sequela
S54.90XAInjury of unspecified nerve at forearm level, unspecified arm, initial encounter
S54.90XDINJURY OF UNSPECIFIED NERVE AT FOREARM LEVEL, UNSPECIFIED ARM, SUBSEQUENT ENCOUNTER
S54.90XSINJURY OF UNSPECIFIED NERVE AT FOREARM LEVEL, UNSPECIFIED ARM, SEQUELA
S54.91XAInjury of unspecified nerve at forearm level, right arm, initial encounter
S54.91XDINJURY OF UNSPECIFIED NERVE AT FOREARM LEVEL, RIGHT ARM, SUBSEQUENT ENCOUNTER
S54.91XSINJURY OF UNSPECIFIED NERVE AT FOREARM LEVEL, RIGHT ARM, SEQUELA
S54.92XAInjury of unspecified nerve at forearm level, left arm, initial encounter
S54.92XDINJURY OF UNSPECIFIED NERVE AT FOREARM LEVEL, LEFT ARM, SUBSEQUENT ENCOUNTER
S54.92XSINJURY OF UNSPECIFIED NERVE AT FOREARM LEVEL, LEFT ARM, SEQUELA
S64.00XAInjury of ulnar nerve at wrist and hand level of unspecified arm, initial encounter
S64.00XDINJURY OF ULNAR NERVE AT WRIST AND HAND LEVEL OF UNSPECIFIED ARM, SUBSEQUENT ENCOUNTER
S64.00XSINJURY OF ULNAR NERVE AT WRIST AND HAND LEVEL OF UNSPECIFIED ARM, SEQUELA
S64.01XAInjury of ulnar nerve at wrist and hand level of right arm, initial encounter
S64.01XDINJURY OF ULNAR NERVE AT WRIST AND HAND LEVEL OF RIGHT ARM, SUBSEQUENT ENCOUNTER
S64.01XSINJURY OF ULNAR NERVE AT WRIST AND HAND LEVEL OF RIGHT ARM, SEQUELA
S64.02XAInjury of ulnar nerve at wrist and hand level of left arm, initial encounter
S64.02XDINJURY OF ULNAR NERVE AT WRIST AND HAND LEVEL OF LEFT ARM, SUBSEQUENT ENCOUNTER
S64.02XSINJURY OF ULNAR NERVE AT WRIST AND HAND LEVEL OF LEFT ARM, SEQUELA
S64.10XAInjury of median nerve at wrist and hand level of unspecified arm, initial encounter
S64.10XDINJURY OF MEDIAN NERVE AT WRIST AND HAND LEVEL OF UNSPECIFIED ARM, SUBSEQUENT ENCOUNTER
S64.10XSINJURY OF MEDIAN NERVE AT WRIST AND HAND LEVEL OF UNSPECIFIED ARM, SEQUELA
S64.11XAInjury of median nerve at wrist and hand level of right arm, initial encounter
S64.11XDINJURY OF MEDIAN NERVE AT WRIST AND HAND LEVEL OF RIGHT ARM, SUBSEQUENT ENCOUNTER
S64.11XSINJURY OF MEDIAN NERVE AT WRIST AND HAND LEVEL OF RIGHT ARM, SEQUELA
S64.12XAInjury of median nerve at wrist and hand level of left arm, initial encounter
S64.12XDINJURY OF MEDIAN NERVE AT WRIST AND HAND LEVEL OF LEFT ARM, SUBSEQUENT ENCOUNTER
S64.12XSINJURY OF MEDIAN NERVE AT WRIST AND HAND LEVEL OF LEFT ARM, SEQUELA
S64.20XAInjury of radial nerve at wrist and hand level of unspecified arm, initial encounter
S64.20XDINJURY OF RADIAL NERVE AT WRIST AND HAND LEVEL OF UNSPECIFIED ARM, SUBSEQUENT ENCOUNTER
S64.20XSINJURY OF RADIAL NERVE AT WRIST AND HAND LEVEL OF UNSPECIFIED ARM, SEQUELA
S64.21XAInjury of radial nerve at wrist and hand level of right arm, initial encounter
S64.21XDINJURY OF RADIAL NERVE AT WRIST AND HAND LEVEL OF RIGHT ARM, SUBSEQUENT ENCOUNTER
S64.21XSINJURY OF RADIAL NERVE AT WRIST AND HAND LEVEL OF RIGHT ARM, SEQUELA
S64.22XAInjury of radial nerve at wrist and hand level of left arm, initial encounter
S64.22XDINJURY OF RADIAL NERVE AT WRIST AND HAND LEVEL OF LEFT ARM, SUBSEQUENT ENCOUNTER
S64.22XSINJURY OF RADIAL NERVE AT WRIST AND HAND LEVEL OF LEFT ARM, SEQUELA
S64.30XAInjury of digital nerve of unspecified thumb, initial encounter
S64.30XDINJURY OF DIGITAL NERVE OF UNSPECIFIED THUMB, SUBSEQUENT ENCOUNTER
S64.30XSINJURY OF DIGITAL NERVE OF UNSPECIFIED THUMB, SEQUELA
S64.31XAInjury of digital nerve of right thumb, initial encounter
S64.31XDINJURY OF DIGITAL NERVE OF RIGHT THUMB, SUBSEQUENT ENCOUNTER
S64.31XSINJURY OF DIGITAL NERVE OF RIGHT THUMB, SEQUELA
S64.32XAInjury of digital nerve of left thumb, initial encounter
S64.32XDINJURY OF DIGITAL NERVE OF LEFT THUMB, SUBSEQUENT ENCOUNTER
S64.32XSINJURY OF DIGITAL NERVE OF LEFT THUMB, SEQUELA
S64.40XAInjury of digital nerve of unspecified finger, initial encounter
S64.40XDINJURY OF DIGITAL NERVE OF UNSPECIFIED FINGER, SUBSEQUENT ENCOUNTER
S64.40XSINJURY OF DIGITAL NERVE OF UNSPECIFIED FINGER, SEQUELA
S64.490AInjury of digital nerve of right index finger, initial encounter
S64.490DINJURY OF DIGITAL NERVE OF RIGHT INDEX FINGER, SUBSEQUENT ENCOUNTER
S64.490SINJURY OF DIGITAL NERVE OF RIGHT INDEX FINGER, SEQUELA
S64.491AInjury of digital nerve of left index finger, initial encounter
S64.491DINJURY OF DIGITAL NERVE OF LEFT INDEX FINGER, SUBSEQUENT ENCOUNTER
S64.491SINJURY OF DIGITAL NERVE OF LEFT INDEX FINGER, SEQUELA
S64.492AInjury of digital nerve of right middle finger, initial encounter
S64.492DINJURY OF DIGITAL NERVE OF RIGHT MIDDLE FINGER, SUBSEQUENT ENCOUNTER
S64.492SINJURY OF DIGITAL NERVE OF RIGHT MIDDLE FINGER, SEQUELA
S64.493AInjury of digital nerve of left middle finger, initial encounter
S64.493DINJURY OF DIGITAL NERVE OF LEFT MIDDLE FINGER, SUBSEQUENT ENCOUNTER
S64.493SINJURY OF DIGITAL NERVE OF LEFT MIDDLE FINGER, SEQUELA
S64.494AInjury of digital nerve of right ring finger, initial encounter
S64.494DINJURY OF DIGITAL NERVE OF RIGHT RING FINGER, SUBSEQUENT ENCOUNTER
S64.494SINJURY OF DIGITAL NERVE OF RIGHT RING FINGER, SEQUELA
S64.495AInjury of digital nerve of left ring finger, initial encounter
S64.495DINJURY OF DIGITAL NERVE OF LEFT RING FINGER, SUBSEQUENT ENCOUNTER
S64.495SINJURY OF DIGITAL NERVE OF LEFT RING FINGER, SEQUELA
S64.496AInjury of digital nerve of right little finger, initial encounter
S64.496DINJURY OF DIGITAL NERVE OF RIGHT LITTLE FINGER, SUBSEQUENT ENCOUNTER
S64.496SINJURY OF DIGITAL NERVE OF RIGHT LITTLE FINGER, SEQUELA
S64.497AInjury of digital nerve of left little finger, initial encounter
S64.497DINJURY OF DIGITAL NERVE OF LEFT LITTLE FINGER, SUBSEQUENT ENCOUNTER
S64.497SINJURY OF DIGITAL NERVE OF LEFT LITTLE FINGER, SEQUELA
S64.498AInjury of digital nerve of other finger, initial encounter
S64.498DINJURY OF DIGITAL NERVE OF OTHER FINGER, SUBSEQUENT ENCOUNTER
S64.498SINJURY OF DIGITAL NERVE OF OTHER FINGER, SEQUELA
S64.8X1AInjury of other nerves at wrist and hand level of right arm, initial encounter
S64.8X1DINJURY OF OTHER NERVES AT WRIST AND HAND LEVEL OF RIGHT ARM, SUBSEQUENT ENCOUNTER
S64.8X1SINJURY OF OTHER NERVES AT WRIST AND HAND LEVEL OF RIGHT ARM, SEQUELA
S64.8X2AInjury of other nerves at wrist and hand level of left arm, initial encounter
S64.8X2DINJURY OF OTHER NERVES AT WRIST AND HAND LEVEL OF LEFT ARM, SUBSEQUENT ENCOUNTER
S64.8X2SINJURY OF OTHER NERVES AT WRIST AND HAND LEVEL OF LEFT ARM, SEQUELA
S64.8X9AInjury of other nerves at wrist and hand level of unspecified arm, initial encounter
S64.8X9DINJURY OF OTHER NERVES AT WRIST AND HAND LEVEL OF UNSPECIFIED ARM, SUBSEQUENT ENCOUNTER
S64.8X9SINJURY OF OTHER NERVES AT WRIST AND HAND LEVEL OF UNSPECIFIED ARM, SEQUELA
S64.90XAInjury of unspecified nerve at wrist and hand level of unspecified arm, initial encounter
S64.90XDINJURY OF UNSPECIFIED NERVE AT WRIST AND HAND LEVEL OF UNSPECIFIED ARM, SUBSEQUENT ENCOUNTER
S64.90XSINJURY OF UNSPECIFIED NERVE AT WRIST AND HAND LEVEL OF UNSPECIFIED ARM, SEQUELA
S64.91XAInjury of unspecified nerve at wrist and hand level of right arm, initial encounter
S64.91XDINJURY OF UNSPECIFIED NERVE AT WRIST AND HAND LEVEL OF RIGHT ARM, SUBSEQUENT ENCOUNTER
S64.91XSINJURY OF UNSPECIFIED NERVE AT WRIST AND HAND LEVEL OF RIGHT ARM, SEQUELA
S64.92XAInjury of unspecified nerve at wrist and hand level of left arm, initial encounter
S64.92XDINJURY OF UNSPECIFIED NERVE AT WRIST AND HAND LEVEL OF LEFT ARM, SUBSEQUENT ENCOUNTER
S64.92XSINJURY OF UNSPECIFIED NERVE AT WRIST AND HAND LEVEL OF LEFT ARM, SEQUELA
S74.00XAInjury of sciatic nerve at hip and thigh level, unspecified leg, initial encounter
S74.00XDINJURY OF SCIATIC NERVE AT HIP AND THIGH LEVEL, UNSPECIFIED LEG, SUBSEQUENT ENCOUNTER
S74.00XSINJURY OF SCIATIC NERVE AT HIP AND THIGH LEVEL, UNSPECIFIED LEG, SEQUELA
S74.01XAInjury of sciatic nerve at hip and thigh level, right leg, initial encounter
S74.01XDINJURY OF SCIATIC NERVE AT HIP AND THIGH LEVEL, RIGHT LEG, SUBSEQUENT ENCOUNTER
S74.01XSINJURY OF SCIATIC NERVE AT HIP AND THIGH LEVEL, RIGHT LEG, SEQUELA
S74.02XAInjury of sciatic nerve at hip and thigh level, left leg, initial encounter
S74.02XDINJURY OF SCIATIC NERVE AT HIP AND THIGH LEVEL, LEFT LEG, SUBSEQUENT ENCOUNTER
S74.02XSINJURY OF SCIATIC NERVE AT HIP AND THIGH LEVEL, LEFT LEG, SEQUELA
S74.10XAInjury of femoral nerve at hip and thigh level, unspecified leg, initial encounter
S74.10XDINJURY OF FEMORAL NERVE AT HIP AND THIGH LEVEL, UNSPECIFIED LEG, SUBSEQUENT ENCOUNTER
S74.10XSINJURY OF FEMORAL NERVE AT HIP AND THIGH LEVEL, UNSPECIFIED LEG, SEQUELA
S74.11XAInjury of femoral nerve at hip and thigh level, right leg, initial encounter
S74.11XDINJURY OF FEMORAL NERVE AT HIP AND THIGH LEVEL, RIGHT LEG, SUBSEQUENT ENCOUNTER
S74.11XSINJURY OF FEMORAL NERVE AT HIP AND THIGH LEVEL, RIGHT LEG, SEQUELA
S74.12XAInjury of femoral nerve at hip and thigh level, left leg, initial encounter
S74.12XDINJURY OF FEMORAL NERVE AT HIP AND THIGH LEVEL, LEFT LEG, SUBSEQUENT ENCOUNTER
S74.12XSINJURY OF FEMORAL NERVE AT HIP AND THIGH LEVEL, LEFT LEG, SEQUELA
S74.20XAInjury of cutaneous sensory nerve at hip and thigh level, unspecified leg, initial encounter
S74.20XDINJURY OF CUTANEOUS SENSORY NERVE AT HIP AND THIGH LEVEL, UNSPECIFIED LEG, SUBSEQUENT ENCOUNTER
S74.20XSINJURY OF CUTANEOUS SENSORY NERVE AT HIP AND THIGH LEVEL, UNSPECIFIED LEG, SEQUELA
S74.21XAInjury of cutaneous sensory nerve at hip and high level, right leg, initial encounter
S74.21XDINJURY OF CUTANEOUS SENSORY NERVE AT HIP AND HIGH LEVEL, RIGHT LEG, SUBSEQUENT ENCOUNTER
S74.21XSINJURY OF CUTANEOUS SENSORY NERVE AT HIP AND HIGH LEVEL, RIGHT LEG, SEQUELA
S74.22XAInjury of cutaneous sensory nerve at hip and thigh level, left leg, initial encounter
S74.22XDINJURY OF CUTANEOUS SENSORY NERVE AT HIP AND THIGH LEVEL, LEFT LEG, SUBSEQUENT ENCOUNTER
S74.22XSINJURY OF CUTANEOUS SENSORY NERVE AT HIP AND THIGH LEVEL, LEFT LEG, SEQUELA
S74.8X1AInjury of other nerves at hip and thigh level, right leg, initial encounter
S74.8X1DINJURY OF OTHER NERVES AT HIP AND THIGH LEVEL, RIGHT LEG, SUBSEQUENT ENCOUNTER
S74.8X1SINJURY OF OTHER NERVES AT HIP AND THIGH LEVEL, RIGHT LEG, SEQUELA
S74.8X2AInjury of other nerves at hip and thigh level, left leg, initial encounter
S74.8X2DINJURY OF OTHER NERVES AT HIP AND THIGH LEVEL, LEFT LEG, SUBSEQUENT ENCOUNTER
S74.8X2SINJURY OF OTHER NERVES AT HIP AND THIGH LEVEL, LEFT LEG, SEQUELA
S74.8X9AInjury of other nerves at hip and thigh level, unspecified leg, initial encounter
S74.8X9DINJURY OF OTHER NERVES AT HIP AND THIGH LEVEL, UNSPECIFIED LEG, SUBSEQUENT ENCOUNTER
S74.8X9SINJURY OF OTHER NERVES AT HIP AND THIGH LEVEL, UNSPECIFIED LEG, SEQUELA
S74.90XAInjury of unspecified nerve at hip and thigh level, unspecified leg, initial encounter
S74.90XDINJURY OF UNSPECIFIED NERVE AT HIP AND THIGH LEVEL, UNSPECIFIED LEG, SUBSEQUENT ENCOUNTER
S74.90XSINJURY OF UNSPECIFIED NERVE AT HIP AND THIGH LEVEL, UNSPECIFIED LEG, SEQUELA
S74.91XAInjury of unspecified nerve at hip and thigh level, right leg, initial encounter
S74.91XDINJURY OF UNSPECIFIED NERVE AT HIP AND THIGH LEVEL, RIGHT LEG, SUBSEQUENT ENCOUNTER
S74.91XSINJURY OF UNSPECIFIED NERVE AT HIP AND THIGH LEVEL, RIGHT LEG, SEQUELA
S74.92XAInjury of unspecified nerve at hip and thigh level, left leg, initial encounter
S74.92XDINJURY OF UNSPECIFIED NERVE AT HIP AND THIGH LEVEL, LEFT LEG, SUBSEQUENT ENCOUNTER
S74.92XSINJURY OF UNSPECIFIED NERVE AT HIP AND THIGH LEVEL, LEFT LEG, SEQUELA
S84.00XAInjury of tibial nerve at lower leg level, unspecified leg, initial encounter
S84.00XDINJURY OF TIBIAL NERVE AT LOWER LEG LEVEL, UNSPECIFIED LEG, SUBSEQUENT ENCOUNTER
S84.00XSINJURY OF TIBIAL NERVE AT LOWER LEG LEVEL, UNSPECIFIED LEG, SEQUELA
S84.01XAInjury of tibial nerve at lower leg level, right leg, initial encounter
S84.01XDINJURY OF TIBIAL NERVE AT LOWER LEG LEVEL, RIGHT LEG, SUBSEQUENT ENCOUNTER
S84.01XSINJURY OF TIBIAL NERVE AT LOWER LEG LEVEL, RIGHT LEG, SEQUELA
S84.02XAInjury of tibial nerve at lower leg level, left leg, initial encounter
S84.02XDINJURY OF TIBIAL NERVE AT LOWER LEG LEVEL, LEFT LEG, SUBSEQUENT ENCOUNTER
S84.02XSINJURY OF TIBIAL NERVE AT LOWER LEG LEVEL, LEFT LEG, SEQUELA
S84.10XAInjury of peroneal nerve at lower leg level, unspecified leg, initial encounter
S84.10XDINJURY OF PERONEAL NERVE AT LOWER LEG LEVEL, UNSPECIFIED LEG, SUBSEQUENT ENCOUNTER
S84.10XSINJURY OF PERONEAL NERVE AT LOWER LEG LEVEL, UNSPECIFIED LEG, SEQUELA
S84.11XAInjury of peroneal nerve at lower leg level, right leg, initial encounter
S84.11XDINJURY OF PERONEAL NERVE AT LOWER LEG LEVEL, RIGHT LEG, SUBSEQUENT ENCOUNTER
S84.11XSINJURY OF PERONEAL NERVE AT LOWER LEG LEVEL, RIGHT LEG, SEQUELA
S84.12XAInjury of peroneal nerve at lower leg level, left leg, initial encounter
S84.12XDINJURY OF PERONEAL NERVE AT LOWER LEG LEVEL, LEFT LEG, SUBSEQUENT ENCOUNTER
S84.12XSINJURY OF PERONEAL NERVE AT LOWER LEG LEVEL, LEFT LEG, SEQUELA
S84.20XAInjury of cutaneous sensory nerve at lower leg level, unspecified leg, initial encounter
S84.20XDINJURY OF CUTANEOUS SENSORY NERVE AT LOWER LEG LEVEL, UNSPECIFIED LEG, SUBSEQUENT ENCOUNTER
S84.20XSINJURY OF CUTANEOUS SENSORY NERVE AT LOWER LEG LEVEL, UNSPECIFIED LEG, SEQUELA
S84.21XAInjury of cutaneous sensory nerve at lower leg level, right leg, initial encounter
S84.21XDINJURY OF CUTANEOUS SENSORY NERVE AT LOWER LEG LEVEL, RIGHT LEG, SUBSEQUENT ENCOUNTER
S84.21XSINJURY OF CUTANEOUS SENSORY NERVE AT LOWER LEG LEVEL, RIGHT LEG, SEQUELA
S84.22XAInjury of cutaneous sensory nerve at lower leg level, left leg, initial encounter
S84.22XDINJURY OF CUTANEOUS SENSORY NERVE AT LOWER LEG LEVEL, LEFT LEG, SUBSEQUENT ENCOUNTER
S84.22XSINJURY OF CUTANEOUS SENSORY NERVE AT LOWER LEG LEVEL, LEFT LEG, SEQUELA
S84.801AInjury of other nerves at lower leg level, right leg, initial encounter
S84.801DINJURY OF OTHER NERVES AT LOWER LEG LEVEL, RIGHT LEG, SUBSEQUENT ENCOUNTER
S84.801SINJURY OF OTHER NERVES AT LOWER LEG LEVEL, RIGHT LEG, SEQUELA
S84.802AInjury of other nerves at lower leg level, left leg, initial encounter
S84.802DINJURY OF OTHER NERVES AT LOWER LEG LEVEL, LEFT LEG, SUBSEQUENT ENCOUNTER
S84.802SINJURY OF OTHER NERVES AT LOWER LEG LEVEL, LEFT LEG, SEQUELA
S84.809AInjury of other nerves at lower leg level, unspecified leg, initial encounter
S84.809DINJURY OF OTHER NERVES AT LOWER LEG LEVEL, UNSPECIFIED LEG, SUBSEQUENT ENCOUNTER
S84.809SINJURY OF OTHER NERVES AT LOWER LEG LEVEL, UNSPECIFIED LEG, SEQUELA
S84.90XAInjury of unspecified nerve at lower leg level, unspecified leg, initial encounter
S84.90XDINJURY OF UNSPECIFIED NERVE AT LOWER LEG LEVEL, UNSPECIFIED LEG, SUBSEQUENT ENCOUNTER
S84.90XSINJURY OF UNSPECIFIED NERVE AT LOWER LEG LEVEL, UNSPECIFIED LEG, SEQUELA
S84.91XAInjury of unspecified nerve at lower leg level, right leg, initial encounter
S84.91XDINJURY OF UNSPECIFIED NERVE AT LOWER LEG LEVEL, RIGHT LEG, SUBSEQUENT ENCOUNTER
S84.91XSINJURY OF UNSPECIFIED NERVE AT LOWER LEG LEVEL, RIGHT LEG, SEQUELA
S84.92XAInjury of unspecified nerve at lower leg level, left leg, initial encounter
S84.92XDINJURY OF UNSPECIFIED NERVE AT LOWER LEG LEVEL, LEFT LEG, SUBSEQUENT ENCOUNTER
S84.92XSINJURY OF UNSPECIFIED NERVE AT LOWER LEG LEVEL, LEFT LEG, SEQUELA
S94.00XAInjury of lateral plantar nerve, unspecified leg, initial encounter
S94.00XDINJURY OF LATERAL PLANTAR NERVE, UNSPECIFIED LEG, SUBSEQUENT ENCOUNTER
S94.00XSINJURY OF LATERAL PLANTAR NERVE, UNSPECIFIED LEG, SEQUELA
S94.01XAInjury of lateral plantar nerve, right leg, initial encounter
S94.01XDINJURY OF LATERAL PLANTAR NERVE, RIGHT LEG, SUBSEQUENT ENCOUNTER
S94.01XSINJURY OF LATERAL PLANTAR NERVE, RIGHT LEG, SEQUELA
S94.02XAInjury of lateral plantar nerve, left leg, initial encounter
S94.02XDINJURY OF LATERAL PLANTAR NERVE, LEFT LEG, SUBSEQUENT ENCOUNTER
S94.02XSINJURY OF LATERAL PLANTAR NERVE, LEFT LEG, SEQUELA
S94.10XAInjury of medial plantar nerve, unspecified leg, initial encounter
S94.10XDINJURY OF MEDIAL PLANTAR NERVE, UNSPECIFIED LEG, SUBSEQUENT ENCOUNTER
S94.10XSINJURY OF MEDIAL PLANTAR NERVE, UNSPECIFIED LEG, SEQUELA
S94.11XAInjury of medial plantar nerve, right leg, initial encounter
S94.11XDINJURY OF MEDIAL PLANTAR NERVE, RIGHT LEG, SUBSEQUENT ENCOUNTER
S94.11XSINJURY OF MEDIAL PLANTAR NERVE, RIGHT LEG, SEQUELA
S94.12XAInjury of medial plantar nerve, left leg, initial encounter
S94.12XDINJURY OF MEDIAL PLANTAR NERVE, LEFT LEG, SUBSEQUENT ENCOUNTER
S94.12XSINJURY OF MEDIAL PLANTAR NERVE, LEFT LEG, SEQUELA
S94.20XAInjury of deep peroneal nerve at ankle and foot level, unspecified leg, initial encounter
S94.20XDINJURY OF DEEP PERONEAL NERVE AT ANKLE AND FOOT LEVEL, UNSPECIFIED LEG, SUBSEQUENT ENCOUNTER
S94.20XSINJURY OF DEEP PERONEAL NERVE AT ANKLE AND FOOT LEVEL, UNSPECIFIED LEG, SEQUELA
S94.21XAInjury of deep peroneal nerve at ankle and foot level, right leg, initial encounter
S94.21XDINJURY OF DEEP PERONEAL NERVE AT ANKLE AND FOOT LEVEL, RIGHT LEG, SUBSEQUENT ENCOUNTER
S94.21XSINJURY OF DEEP PERONEAL NERVE AT ANKLE AND FOOT LEVEL, RIGHT LEG, SEQUELA
S94.22XAInjury of deep peroneal nerve at ankle and foot level, left leg, initial encounter
S94.22XDINJURY OF DEEP PERONEAL NERVE AT ANKLE AND FOOT LEVEL, LEFT LEG, SUBSEQUENT ENCOUNTER
S94.22XSINJURY OF DEEP PERONEAL NERVE AT ANKLE AND FOOT LEVEL, LEFT LEG, SEQUELA
S94.30XAInjury of cutaneous sensory nerve at ankle and foot level, unspecified leg, initial encounter
S94.30XDINJURY OF CUTANEOUS SENSORY NERVE AT ANKLE AND FOOT LEVEL, UNSPECIFIED LEG, SUBSEQUENT ENCOUNTER
S94.30XSINJURY OF CUTANEOUS SENSORY NERVE AT ANKLE AND FOOT LEVEL, UNSPECIFIED LEG, SEQUELA

Version Effective Date: 10/01/2019
Version Issued Date: 10/02/2019
Version Reissued Date: 11/20/2019



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