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G56.40 vs G56.42

G56.40 (Causalgia of unspecified upper limb) compared with G56.42 (Causalgia of left upper limb), from the official CMS tabular data. G56.40 and G56.42 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

G56.40
Unspecified
Causalgia of unspecified upper limb
G56.42
Left
Causalgia of left upper limb

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. G56.40 and G56.42 name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

G56.40Causalgia of unspecified upper limbG56.42Causalgia of left upper limb
Billing statusBillableBillable
ClassificationG00-G99 — Diseases of the Nervous System (G00-G99)G00-G99 — Diseases of the Nervous System (G00-G99)
DefinitionCausalgia of unspecified upper limb is a billable ICD-10-CM diagnosis code (G56.40).Causalgia of left upper limb is a billable ICD-10-CM diagnosis code (G56.42).

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