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Compare/G56.4 vs M89.0

G56.4 vs M89.0

G56.4 (Causalgia of upper limb) compared with M89.0 (Algoneurodystrophy), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. M89.0 carries an Excludes1 note covering G56.4: “causalgia, upper limb (G56.4-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

No — do not report together. M89.0 carries an Excludes1 note covering G56.4: “complex regional pain syndrome II, upper limb (G56.4-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

G56.4Causalgia of upper limbM89.0Algoneurodystrophy
Billing statusNon-billable header

Report instead: G56.40, G56.41, G56.42, G56.43

Non-billable header

Report instead: M89.00, M89.011, M89.012, M89.019, M89.021

ClassificationG00-G99 — Diseases of the Nervous System (G00-G99)M00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)
DefinitionCausalgia of upper limb is a non-billable ICD-10-CM category code (G56.4).Algoneurodystrophy is a non-billable ICD-10-CM category code (M89.0).
Includes
Complex regional pain syndrome II of upper limb
Shoulder-hand syndrome
Sudeck's atrophy

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources