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Carpal Tunnel Syndrome F036
In this section
Current RMA Instruments
|Reasonable Hypothesis SOP||93 of 2021|
|Balance of Probabilities SOP||94 of 2021|
Changes from previous instruments
- ICD-9-CM Codes: 354.0
- ICD-10-AM Codes: G56.0
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 clinical findings and electrophysiological testing.
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 will be when symptoms (pain, parasthesia, weakness) in the hand, in the median nerve distribution, first began.
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).