Carpal Tunnel Syndrome F036

Current RMA Instruments
Reasonable Hypothesis SOP93 of 2021
Balance of Probabilities SOP 94 of 2021
Changes from previous instruments

 ICD Coding
  • ICD-10-AM Codes: G56.0
Brief description

This condition affects the thumb, index and middle fingers and half of the ring finger.  It results in pain and numbness, and weakness in some cases, due to pressure on / entrapment of the median nerve in the wrist.

Confirming the diagnosis

Diagnosis is based on characteristic clinical history and examination findings. Electrophysiological testing can often be used to help confirm the diagnosis but it is not always required.

The appropriate specialist for this condition is a neurologist or orthopaedic (hand) surgeon.

Additional diagnoses covered by SOP
  • Median nerve entrapment at the wrist
Conditions not covered by SOP
  • anterior interosseous syndrome#
  • cervical radiculopathy - may be covered by thoracic outlet syndrome SOP, or cervical spondylosis SOP, or be non-SOP
  • cubital tunnel syndrome* - ulnar neuropathy at the elbow SOP
  • median nerve neuritis#
  • pronator syndrome#
  • thoracic outlet syndrome*
  • ulnar tunnel syndrome# 

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when symptoms (pain, parasthesia, weakness) in the hand, in the median nerve distribution, first began. 

Clinical worsening

A clinical course involving periods of remission and exacerbation is common.  There may be progression from intermittent to persistent sensory symptoms, and later, to the development of motor symptoms (weakness).

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/sops-grouped-icd-body-system/c-d/carpal-tunnel-syndrome-f036-g560

Last amended

Factors in CCPS as at 9 January 2013 (F036)

Current RMA Instruments
Reasonable Hypothesis SOP93 of 2021
Balance of Probabilities SOP 94 of 2021
Changes from previous instruments

 ICD Coding
  • ICD-10-AM Codes: G56.0
Brief description

This condition affects the thumb, index and middle fingers and half of the ring finger.  It results in pain and numbness, and weakness in some cases, due to pressure on / entrapment of the median nerve in the wrist.

Confirming the diagnosis

Diagnosis is based on characteristic clinical history and examination findings. Electrophysiological testing can often be used to help confirm the diagnosis but it is not always required.

The appropriate specialist for this condition is a neurologist or orthopaedic (hand) surgeon.

Additional diagnoses covered by SOP
  • Median nerve entrapment at the wrist
Conditions not covered by SOP
  • anterior interosseous syndrome#
  • cervical radiculopathy - may be covered by thoracic outlet syndrome SOP, or cervical spondylosis SOP, or be non-SOP
  • cubital tunnel syndrome* - ulnar neuropathy at the elbow SOP
  • median nerve neuritis#
  • pronator syndrome#
  • thoracic outlet syndrome*
  • ulnar tunnel syndrome# 

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when symptoms (pain, parasthesia, weakness) in the hand, in the median nerve distribution, first began. 

Clinical worsening

A clinical course involving periods of remission and exacerbation is common.  There may be progression from intermittent to persistent sensory symptoms, and later, to the development of motor symptoms (weakness).

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/carpal-tunnel-syndrome-f036-g560/rulebase-carpal-tunnel-syndrome

Last amended

Acromegaly

Current RMA Instruments
Reasonable Hypothesis SOP93 of 2021
Balance of Probabilities SOP 94 of 2021
Changes from previous instruments

 ICD Coding
  • ICD-10-AM Codes: G56.0
Brief description

This condition affects the thumb, index and middle fingers and half of the ring finger.  It results in pain and numbness, and weakness in some cases, due to pressure on / entrapment of the median nerve in the wrist.

Confirming the diagnosis

Diagnosis is based on characteristic clinical history and examination findings. Electrophysiological testing can often be used to help confirm the diagnosis but it is not always required.

The appropriate specialist for this condition is a neurologist or orthopaedic (hand) surgeon.

Additional diagnoses covered by SOP
  • Median nerve entrapment at the wrist
Conditions not covered by SOP
  • anterior interosseous syndrome#
  • cervical radiculopathy - may be covered by thoracic outlet syndrome SOP, or cervical spondylosis SOP, or be non-SOP
  • cubital tunnel syndrome* - ulnar neuropathy at the elbow SOP
  • median nerve neuritis#
  • pronator syndrome#
  • thoracic outlet syndrome*
  • ulnar tunnel syndrome# 

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when symptoms (pain, parasthesia, weakness) in the hand, in the median nerve distribution, first began. 

Clinical worsening

A clinical course involving periods of remission and exacerbation is common.  There may be progression from intermittent to persistent sensory symptoms, and later, to the development of motor symptoms (weakness).

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/carpal-tunnel-syndrome-f036-g560/rulebase-carpal-tunnel-syndrome/acromegaly

Last amended

Amyloidosis

Current RMA Instruments
Reasonable Hypothesis SOP93 of 2021
Balance of Probabilities SOP 94 of 2021
Changes from previous instruments

 ICD Coding
  • ICD-10-AM Codes: G56.0
Brief description

This condition affects the thumb, index and middle fingers and half of the ring finger.  It results in pain and numbness, and weakness in some cases, due to pressure on / entrapment of the median nerve in the wrist.

Confirming the diagnosis

Diagnosis is based on characteristic clinical history and examination findings. Electrophysiological testing can often be used to help confirm the diagnosis but it is not always required.

The appropriate specialist for this condition is a neurologist or orthopaedic (hand) surgeon.

Additional diagnoses covered by SOP
  • Median nerve entrapment at the wrist
Conditions not covered by SOP
  • anterior interosseous syndrome#
  • cervical radiculopathy - may be covered by thoracic outlet syndrome SOP, or cervical spondylosis SOP, or be non-SOP
  • cubital tunnel syndrome* - ulnar neuropathy at the elbow SOP
  • median nerve neuritis#
  • pronator syndrome#
  • thoracic outlet syndrome*
  • ulnar tunnel syndrome# 

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when symptoms (pain, parasthesia, weakness) in the hand, in the median nerve distribution, first began. 

Clinical worsening

A clinical course involving periods of remission and exacerbation is common.  There may be progression from intermittent to persistent sensory symptoms, and later, to the development of motor symptoms (weakness).

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/carpal-tunnel-syndrome-f036-g560/rulebase-carpal-tunnel-syndrome/amyloidosis

Last amended

Being obese

Current RMA Instruments
Reasonable Hypothesis SOP93 of 2021
Balance of Probabilities SOP 94 of 2021
Changes from previous instruments

 ICD Coding
  • ICD-10-AM Codes: G56.0
Brief description

This condition affects the thumb, index and middle fingers and half of the ring finger.  It results in pain and numbness, and weakness in some cases, due to pressure on / entrapment of the median nerve in the wrist.

Confirming the diagnosis

Diagnosis is based on characteristic clinical history and examination findings. Electrophysiological testing can often be used to help confirm the diagnosis but it is not always required.

The appropriate specialist for this condition is a neurologist or orthopaedic (hand) surgeon.

Additional diagnoses covered by SOP
  • Median nerve entrapment at the wrist
Conditions not covered by SOP
  • anterior interosseous syndrome#
  • cervical radiculopathy - may be covered by thoracic outlet syndrome SOP, or cervical spondylosis SOP, or be non-SOP
  • cubital tunnel syndrome* - ulnar neuropathy at the elbow SOP
  • median nerve neuritis#
  • pronator syndrome#
  • thoracic outlet syndrome*
  • ulnar tunnel syndrome# 

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when symptoms (pain, parasthesia, weakness) in the hand, in the median nerve distribution, first began. 

Clinical worsening

A clinical course involving periods of remission and exacerbation is common.  There may be progression from intermittent to persistent sensory symptoms, and later, to the development of motor symptoms (weakness).

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/carpal-tunnel-syndrome-f036-g560/rulebase-carpal-tunnel-syndrome/being-obese

Last amended

Daily use of a manual wheelchair

Current RMA Instruments
Reasonable Hypothesis SOP93 of 2021
Balance of Probabilities SOP 94 of 2021
Changes from previous instruments

 ICD Coding
  • ICD-10-AM Codes: G56.0
Brief description

This condition affects the thumb, index and middle fingers and half of the ring finger.  It results in pain and numbness, and weakness in some cases, due to pressure on / entrapment of the median nerve in the wrist.

Confirming the diagnosis

Diagnosis is based on characteristic clinical history and examination findings. Electrophysiological testing can often be used to help confirm the diagnosis but it is not always required.

The appropriate specialist for this condition is a neurologist or orthopaedic (hand) surgeon.

Additional diagnoses covered by SOP
  • Median nerve entrapment at the wrist
Conditions not covered by SOP
  • anterior interosseous syndrome#
  • cervical radiculopathy - may be covered by thoracic outlet syndrome SOP, or cervical spondylosis SOP, or be non-SOP
  • cubital tunnel syndrome* - ulnar neuropathy at the elbow SOP
  • median nerve neuritis#
  • pronator syndrome#
  • thoracic outlet syndrome*
  • ulnar tunnel syndrome# 

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when symptoms (pain, parasthesia, weakness) in the hand, in the median nerve distribution, first began. 

Clinical worsening

A clinical course involving periods of remission and exacerbation is common.  There may be progression from intermittent to persistent sensory symptoms, and later, to the development of motor symptoms (weakness).

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/carpal-tunnel-syndrome-f036-g560/rulebase-carpal-tunnel-syndrome/daily-use-manual-wheelchair

Last amended

Fracture or dislocation to lower radius or ulna or carpal or metacarpal bone

Current RMA Instruments
Reasonable Hypothesis SOP93 of 2021
Balance of Probabilities SOP 94 of 2021
Changes from previous instruments

 ICD Coding
  • ICD-10-AM Codes: G56.0
Brief description

This condition affects the thumb, index and middle fingers and half of the ring finger.  It results in pain and numbness, and weakness in some cases, due to pressure on / entrapment of the median nerve in the wrist.

Confirming the diagnosis

Diagnosis is based on characteristic clinical history and examination findings. Electrophysiological testing can often be used to help confirm the diagnosis but it is not always required.

The appropriate specialist for this condition is a neurologist or orthopaedic (hand) surgeon.

Additional diagnoses covered by SOP
  • Median nerve entrapment at the wrist
Conditions not covered by SOP
  • anterior interosseous syndrome#
  • cervical radiculopathy - may be covered by thoracic outlet syndrome SOP, or cervical spondylosis SOP, or be non-SOP
  • cubital tunnel syndrome* - ulnar neuropathy at the elbow SOP
  • median nerve neuritis#
  • pronator syndrome#
  • thoracic outlet syndrome*
  • ulnar tunnel syndrome# 

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when symptoms (pain, parasthesia, weakness) in the hand, in the median nerve distribution, first began. 

Clinical worsening

A clinical course involving periods of remission and exacerbation is common.  There may be progression from intermittent to persistent sensory symptoms, and later, to the development of motor symptoms (weakness).

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/carpal-tunnel-syndrome-f036-g560/rulebase-carpal-tunnel-syndrome/fracture-or-dislocation-lower-radius-or-ulna-or-carpal-or-metacarpal-bone

Last amended

Gout

Current RMA Instruments
Reasonable Hypothesis SOP93 of 2021
Balance of Probabilities SOP 94 of 2021
Changes from previous instruments

 ICD Coding
  • ICD-10-AM Codes: G56.0
Brief description

This condition affects the thumb, index and middle fingers and half of the ring finger.  It results in pain and numbness, and weakness in some cases, due to pressure on / entrapment of the median nerve in the wrist.

Confirming the diagnosis

Diagnosis is based on characteristic clinical history and examination findings. Electrophysiological testing can often be used to help confirm the diagnosis but it is not always required.

The appropriate specialist for this condition is a neurologist or orthopaedic (hand) surgeon.

Additional diagnoses covered by SOP
  • Median nerve entrapment at the wrist
Conditions not covered by SOP
  • anterior interosseous syndrome#
  • cervical radiculopathy - may be covered by thoracic outlet syndrome SOP, or cervical spondylosis SOP, or be non-SOP
  • cubital tunnel syndrome* - ulnar neuropathy at the elbow SOP
  • median nerve neuritis#
  • pronator syndrome#
  • thoracic outlet syndrome*
  • ulnar tunnel syndrome# 

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when symptoms (pain, parasthesia, weakness) in the hand, in the median nerve distribution, first began. 

Clinical worsening

A clinical course involving periods of remission and exacerbation is common.  There may be progression from intermittent to persistent sensory symptoms, and later, to the development of motor symptoms (weakness).

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/carpal-tunnel-syndrome-f036-g560/rulebase-carpal-tunnel-syndrome/gout

Last amended

Haemodialysis treatment

Current RMA Instruments
Reasonable Hypothesis SOP93 of 2021
Balance of Probabilities SOP 94 of 2021
Changes from previous instruments

 ICD Coding
  • ICD-10-AM Codes: G56.0
Brief description

This condition affects the thumb, index and middle fingers and half of the ring finger.  It results in pain and numbness, and weakness in some cases, due to pressure on / entrapment of the median nerve in the wrist.

Confirming the diagnosis

Diagnosis is based on characteristic clinical history and examination findings. Electrophysiological testing can often be used to help confirm the diagnosis but it is not always required.

The appropriate specialist for this condition is a neurologist or orthopaedic (hand) surgeon.

Additional diagnoses covered by SOP
  • Median nerve entrapment at the wrist
Conditions not covered by SOP
  • anterior interosseous syndrome#
  • cervical radiculopathy - may be covered by thoracic outlet syndrome SOP, or cervical spondylosis SOP, or be non-SOP
  • cubital tunnel syndrome* - ulnar neuropathy at the elbow SOP
  • median nerve neuritis#
  • pronator syndrome#
  • thoracic outlet syndrome*
  • ulnar tunnel syndrome# 

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when symptoms (pain, parasthesia, weakness) in the hand, in the median nerve distribution, first began. 

Clinical worsening

A clinical course involving periods of remission and exacerbation is common.  There may be progression from intermittent to persistent sensory symptoms, and later, to the development of motor symptoms (weakness).

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/carpal-tunnel-syndrome-f036-g560/rulebase-carpal-tunnel-syndrome/haemodialysis-treatment

Last amended

Haemorrhage

Current RMA Instruments
Reasonable Hypothesis SOP93 of 2021
Balance of Probabilities SOP 94 of 2021
Changes from previous instruments

 ICD Coding
  • ICD-10-AM Codes: G56.0
Brief description

This condition affects the thumb, index and middle fingers and half of the ring finger.  It results in pain and numbness, and weakness in some cases, due to pressure on / entrapment of the median nerve in the wrist.

Confirming the diagnosis

Diagnosis is based on characteristic clinical history and examination findings. Electrophysiological testing can often be used to help confirm the diagnosis but it is not always required.

The appropriate specialist for this condition is a neurologist or orthopaedic (hand) surgeon.

Additional diagnoses covered by SOP
  • Median nerve entrapment at the wrist
Conditions not covered by SOP
  • anterior interosseous syndrome#
  • cervical radiculopathy - may be covered by thoracic outlet syndrome SOP, or cervical spondylosis SOP, or be non-SOP
  • cubital tunnel syndrome* - ulnar neuropathy at the elbow SOP
  • median nerve neuritis#
  • pronator syndrome#
  • thoracic outlet syndrome*
  • ulnar tunnel syndrome# 

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when symptoms (pain, parasthesia, weakness) in the hand, in the median nerve distribution, first began. 

Clinical worsening

A clinical course involving periods of remission and exacerbation is common.  There may be progression from intermittent to persistent sensory symptoms, and later, to the development of motor symptoms (weakness).

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/carpal-tunnel-syndrome-f036-g560/rulebase-carpal-tunnel-syndrome/haemorrhage

Last amended

Inability to obtain appropriate clinical management for carpal tunnel syndrome

Current RMA Instruments
Reasonable Hypothesis SOP93 of 2021
Balance of Probabilities SOP 94 of 2021
Changes from previous instruments

 ICD Coding
  • ICD-10-AM Codes: G56.0
Brief description

This condition affects the thumb, index and middle fingers and half of the ring finger.  It results in pain and numbness, and weakness in some cases, due to pressure on / entrapment of the median nerve in the wrist.

Confirming the diagnosis

Diagnosis is based on characteristic clinical history and examination findings. Electrophysiological testing can often be used to help confirm the diagnosis but it is not always required.

The appropriate specialist for this condition is a neurologist or orthopaedic (hand) surgeon.

Additional diagnoses covered by SOP
  • Median nerve entrapment at the wrist
Conditions not covered by SOP
  • anterior interosseous syndrome#
  • cervical radiculopathy - may be covered by thoracic outlet syndrome SOP, or cervical spondylosis SOP, or be non-SOP
  • cubital tunnel syndrome* - ulnar neuropathy at the elbow SOP
  • median nerve neuritis#
  • pronator syndrome#
  • thoracic outlet syndrome*
  • ulnar tunnel syndrome# 

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when symptoms (pain, parasthesia, weakness) in the hand, in the median nerve distribution, first began. 

Clinical worsening

A clinical course involving periods of remission and exacerbation is common.  There may be progression from intermittent to persistent sensory symptoms, and later, to the development of motor symptoms (weakness).

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/carpal-tunnel-syndrome-f036-g560/rulebase-carpal-tunnel-syndrome/inability-obtain-appropriate-clinical-management-carpal-tunnel-syndrome

Last amended

Infection

Current RMA Instruments
Reasonable Hypothesis SOP93 of 2021
Balance of Probabilities SOP 94 of 2021
Changes from previous instruments

 ICD Coding
  • ICD-10-AM Codes: G56.0
Brief description

This condition affects the thumb, index and middle fingers and half of the ring finger.  It results in pain and numbness, and weakness in some cases, due to pressure on / entrapment of the median nerve in the wrist.

Confirming the diagnosis

Diagnosis is based on characteristic clinical history and examination findings. Electrophysiological testing can often be used to help confirm the diagnosis but it is not always required.

The appropriate specialist for this condition is a neurologist or orthopaedic (hand) surgeon.

Additional diagnoses covered by SOP
  • Median nerve entrapment at the wrist
Conditions not covered by SOP
  • anterior interosseous syndrome#
  • cervical radiculopathy - may be covered by thoracic outlet syndrome SOP, or cervical spondylosis SOP, or be non-SOP
  • cubital tunnel syndrome* - ulnar neuropathy at the elbow SOP
  • median nerve neuritis#
  • pronator syndrome#
  • thoracic outlet syndrome*
  • ulnar tunnel syndrome# 

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when symptoms (pain, parasthesia, weakness) in the hand, in the median nerve distribution, first began. 

Clinical worsening

A clinical course involving periods of remission and exacerbation is common.  There may be progression from intermittent to persistent sensory symptoms, and later, to the development of motor symptoms (weakness).

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/carpal-tunnel-syndrome-f036-g560/rulebase-carpal-tunnel-syndrome/infection

Last amended

Inflammatory arthritis

Current RMA Instruments
Reasonable Hypothesis SOP93 of 2021
Balance of Probabilities SOP 94 of 2021
Changes from previous instruments

 ICD Coding
  • ICD-10-AM Codes: G56.0
Brief description

This condition affects the thumb, index and middle fingers and half of the ring finger.  It results in pain and numbness, and weakness in some cases, due to pressure on / entrapment of the median nerve in the wrist.

Confirming the diagnosis

Diagnosis is based on characteristic clinical history and examination findings. Electrophysiological testing can often be used to help confirm the diagnosis but it is not always required.

The appropriate specialist for this condition is a neurologist or orthopaedic (hand) surgeon.

Additional diagnoses covered by SOP
  • Median nerve entrapment at the wrist
Conditions not covered by SOP
  • anterior interosseous syndrome#
  • cervical radiculopathy - may be covered by thoracic outlet syndrome SOP, or cervical spondylosis SOP, or be non-SOP
  • cubital tunnel syndrome* - ulnar neuropathy at the elbow SOP
  • median nerve neuritis#
  • pronator syndrome#
  • thoracic outlet syndrome*
  • ulnar tunnel syndrome# 

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when symptoms (pain, parasthesia, weakness) in the hand, in the median nerve distribution, first began. 

Clinical worsening

A clinical course involving periods of remission and exacerbation is common.  There may be progression from intermittent to persistent sensory symptoms, and later, to the development of motor symptoms (weakness).

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/carpal-tunnel-syndrome-f036-g560/rulebase-carpal-tunnel-syndrome/inflammatory-arthritis

Last amended

Injury to the wrist or hand

Current RMA Instruments
Reasonable Hypothesis SOP93 of 2021
Balance of Probabilities SOP 94 of 2021
Changes from previous instruments

 ICD Coding
  • ICD-10-AM Codes: G56.0
Brief description

This condition affects the thumb, index and middle fingers and half of the ring finger.  It results in pain and numbness, and weakness in some cases, due to pressure on / entrapment of the median nerve in the wrist.

Confirming the diagnosis

Diagnosis is based on characteristic clinical history and examination findings. Electrophysiological testing can often be used to help confirm the diagnosis but it is not always required.

The appropriate specialist for this condition is a neurologist or orthopaedic (hand) surgeon.

Additional diagnoses covered by SOP
  • Median nerve entrapment at the wrist
Conditions not covered by SOP
  • anterior interosseous syndrome#
  • cervical radiculopathy - may be covered by thoracic outlet syndrome SOP, or cervical spondylosis SOP, or be non-SOP
  • cubital tunnel syndrome* - ulnar neuropathy at the elbow SOP
  • median nerve neuritis#
  • pronator syndrome#
  • thoracic outlet syndrome*
  • ulnar tunnel syndrome# 

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when symptoms (pain, parasthesia, weakness) in the hand, in the median nerve distribution, first began. 

Clinical worsening

A clinical course involving periods of remission and exacerbation is common.  There may be progression from intermittent to persistent sensory symptoms, and later, to the development of motor symptoms (weakness).

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/carpal-tunnel-syndrome-f036-g560/rulebase-carpal-tunnel-syndrome/injury-wrist-or-hand

Last amended

Myxoedema

Current RMA Instruments
Reasonable Hypothesis SOP93 of 2021
Balance of Probabilities SOP 94 of 2021
Changes from previous instruments

 ICD Coding
  • ICD-10-AM Codes: G56.0
Brief description

This condition affects the thumb, index and middle fingers and half of the ring finger.  It results in pain and numbness, and weakness in some cases, due to pressure on / entrapment of the median nerve in the wrist.

Confirming the diagnosis

Diagnosis is based on characteristic clinical history and examination findings. Electrophysiological testing can often be used to help confirm the diagnosis but it is not always required.

The appropriate specialist for this condition is a neurologist or orthopaedic (hand) surgeon.

Additional diagnoses covered by SOP
  • Median nerve entrapment at the wrist
Conditions not covered by SOP
  • anterior interosseous syndrome#
  • cervical radiculopathy - may be covered by thoracic outlet syndrome SOP, or cervical spondylosis SOP, or be non-SOP
  • cubital tunnel syndrome* - ulnar neuropathy at the elbow SOP
  • median nerve neuritis#
  • pronator syndrome#
  • thoracic outlet syndrome*
  • ulnar tunnel syndrome# 

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when symptoms (pain, parasthesia, weakness) in the hand, in the median nerve distribution, first began. 

Clinical worsening

A clinical course involving periods of remission and exacerbation is common.  There may be progression from intermittent to persistent sensory symptoms, and later, to the development of motor symptoms (weakness).

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/carpal-tunnel-syndrome-f036-g560/rulebase-carpal-tunnel-syndrome/myxoedema

Last amended

Oedema

Current RMA Instruments
Reasonable Hypothesis SOP93 of 2021
Balance of Probabilities SOP 94 of 2021
Changes from previous instruments

 ICD Coding
  • ICD-10-AM Codes: G56.0
Brief description

This condition affects the thumb, index and middle fingers and half of the ring finger.  It results in pain and numbness, and weakness in some cases, due to pressure on / entrapment of the median nerve in the wrist.

Confirming the diagnosis

Diagnosis is based on characteristic clinical history and examination findings. Electrophysiological testing can often be used to help confirm the diagnosis but it is not always required.

The appropriate specialist for this condition is a neurologist or orthopaedic (hand) surgeon.

Additional diagnoses covered by SOP
  • Median nerve entrapment at the wrist
Conditions not covered by SOP
  • anterior interosseous syndrome#
  • cervical radiculopathy - may be covered by thoracic outlet syndrome SOP, or cervical spondylosis SOP, or be non-SOP
  • cubital tunnel syndrome* - ulnar neuropathy at the elbow SOP
  • median nerve neuritis#
  • pronator syndrome#
  • thoracic outlet syndrome*
  • ulnar tunnel syndrome# 

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when symptoms (pain, parasthesia, weakness) in the hand, in the median nerve distribution, first began. 

Clinical worsening

A clinical course involving periods of remission and exacerbation is common.  There may be progression from intermittent to persistent sensory symptoms, and later, to the development of motor symptoms (weakness).

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/carpal-tunnel-syndrome-f036-g560/rulebase-carpal-tunnel-syndrome/oedema

Last amended

Repetitive or forceful activities

Current RMA Instruments
Reasonable Hypothesis SOP93 of 2021
Balance of Probabilities SOP 94 of 2021
Changes from previous instruments

 ICD Coding
  • ICD-10-AM Codes: G56.0
Brief description

This condition affects the thumb, index and middle fingers and half of the ring finger.  It results in pain and numbness, and weakness in some cases, due to pressure on / entrapment of the median nerve in the wrist.

Confirming the diagnosis

Diagnosis is based on characteristic clinical history and examination findings. Electrophysiological testing can often be used to help confirm the diagnosis but it is not always required.

The appropriate specialist for this condition is a neurologist or orthopaedic (hand) surgeon.

Additional diagnoses covered by SOP
  • Median nerve entrapment at the wrist
Conditions not covered by SOP
  • anterior interosseous syndrome#
  • cervical radiculopathy - may be covered by thoracic outlet syndrome SOP, or cervical spondylosis SOP, or be non-SOP
  • cubital tunnel syndrome* - ulnar neuropathy at the elbow SOP
  • median nerve neuritis#
  • pronator syndrome#
  • thoracic outlet syndrome*
  • ulnar tunnel syndrome# 

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when symptoms (pain, parasthesia, weakness) in the hand, in the median nerve distribution, first began. 

Clinical worsening

A clinical course involving periods of remission and exacerbation is common.  There may be progression from intermittent to persistent sensory symptoms, and later, to the development of motor symptoms (weakness).

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/carpal-tunnel-syndrome-f036-g560/rulebase-carpal-tunnel-syndrome/repetitive-or-forceful-activities

Last amended

Space occupying lesion in the carpal tunnel

Current RMA Instruments
Reasonable Hypothesis SOP93 of 2021
Balance of Probabilities SOP 94 of 2021
Changes from previous instruments

 ICD Coding
  • ICD-10-AM Codes: G56.0
Brief description

This condition affects the thumb, index and middle fingers and half of the ring finger.  It results in pain and numbness, and weakness in some cases, due to pressure on / entrapment of the median nerve in the wrist.

Confirming the diagnosis

Diagnosis is based on characteristic clinical history and examination findings. Electrophysiological testing can often be used to help confirm the diagnosis but it is not always required.

The appropriate specialist for this condition is a neurologist or orthopaedic (hand) surgeon.

Additional diagnoses covered by SOP
  • Median nerve entrapment at the wrist
Conditions not covered by SOP
  • anterior interosseous syndrome#
  • cervical radiculopathy - may be covered by thoracic outlet syndrome SOP, or cervical spondylosis SOP, or be non-SOP
  • cubital tunnel syndrome* - ulnar neuropathy at the elbow SOP
  • median nerve neuritis#
  • pronator syndrome#
  • thoracic outlet syndrome*
  • ulnar tunnel syndrome# 

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when symptoms (pain, parasthesia, weakness) in the hand, in the median nerve distribution, first began. 

Clinical worsening

A clinical course involving periods of remission and exacerbation is common.  There may be progression from intermittent to persistent sensory symptoms, and later, to the development of motor symptoms (weakness).

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/carpal-tunnel-syndrome-f036-g560/rulebase-carpal-tunnel-syndrome/space-occupying-lesion-carpal-tunnel

Last amended

Surgery to the wrist or hand

Current RMA Instruments
Reasonable Hypothesis SOP93 of 2021
Balance of Probabilities SOP 94 of 2021
Changes from previous instruments

 ICD Coding
  • ICD-10-AM Codes: G56.0
Brief description

This condition affects the thumb, index and middle fingers and half of the ring finger.  It results in pain and numbness, and weakness in some cases, due to pressure on / entrapment of the median nerve in the wrist.

Confirming the diagnosis

Diagnosis is based on characteristic clinical history and examination findings. Electrophysiological testing can often be used to help confirm the diagnosis but it is not always required.

The appropriate specialist for this condition is a neurologist or orthopaedic (hand) surgeon.

Additional diagnoses covered by SOP
  • Median nerve entrapment at the wrist
Conditions not covered by SOP
  • anterior interosseous syndrome#
  • cervical radiculopathy - may be covered by thoracic outlet syndrome SOP, or cervical spondylosis SOP, or be non-SOP
  • cubital tunnel syndrome* - ulnar neuropathy at the elbow SOP
  • median nerve neuritis#
  • pronator syndrome#
  • thoracic outlet syndrome*
  • ulnar tunnel syndrome# 

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when symptoms (pain, parasthesia, weakness) in the hand, in the median nerve distribution, first began. 

Clinical worsening

A clinical course involving periods of remission and exacerbation is common.  There may be progression from intermittent to persistent sensory symptoms, and later, to the development of motor symptoms (weakness).

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/carpal-tunnel-syndrome-f036-g560/rulebase-carpal-tunnel-syndrome/surgery-wrist-or-hand

Last amended

Vibrating activities with the hand or forearm

Current RMA Instruments
Reasonable Hypothesis SOP93 of 2021
Balance of Probabilities SOP 94 of 2021
Changes from previous instruments

 ICD Coding
  • ICD-10-AM Codes: G56.0
Brief description

This condition affects the thumb, index and middle fingers and half of the ring finger.  It results in pain and numbness, and weakness in some cases, due to pressure on / entrapment of the median nerve in the wrist.

Confirming the diagnosis

Diagnosis is based on characteristic clinical history and examination findings. Electrophysiological testing can often be used to help confirm the diagnosis but it is not always required.

The appropriate specialist for this condition is a neurologist or orthopaedic (hand) surgeon.

Additional diagnoses covered by SOP
  • Median nerve entrapment at the wrist
Conditions not covered by SOP
  • anterior interosseous syndrome#
  • cervical radiculopathy - may be covered by thoracic outlet syndrome SOP, or cervical spondylosis SOP, or be non-SOP
  • cubital tunnel syndrome* - ulnar neuropathy at the elbow SOP
  • median nerve neuritis#
  • pronator syndrome#
  • thoracic outlet syndrome*
  • ulnar tunnel syndrome# 

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will be when symptoms (pain, parasthesia, weakness) in the hand, in the median nerve distribution, first began. 

Clinical worsening

A clinical course involving periods of remission and exacerbation is common.  There may be progression from intermittent to persistent sensory symptoms, and later, to the development of motor symptoms (weakness).

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/c-d/carpal-tunnel-syndrome-f036-g560/rulebase-carpal-tunnel-syndrome/vibrating-activities-hand-or-forearm

Last amended