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Ulnar neuropathy at the elbow F094

Document
Last amended 
5 May 2020
Current RMA Instruments
Reasonable Hypothesis SOP67 of 2017 as amended
Balance of Probabilities SOP 68 of 2017 as amended
Changes from previous instruments

SOP Bulletin 199

SOP bulletin 214

 ICD Coding
  • ICD-9-CM Codes: 354.2
  • ICD-10-AM Codes: G56.2
Brief description

This is a common condition that involves entrapment or compression of the ulnar nerve at the inside of the elbow.  

Confirming the diagnosis

Diagnosis is based on clinical findings and electrophysiological testing.  

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

Additional diagnoses covered by SOP
  • cubital tunnel syndrome
  • tardy ulnar nerve palsy
  • ulnar nerve entrapment at the elbow
  • ulnar entrapment neuritis
Conditions not covered by SOP
  • carpal tunnel syndrome*
  • cervical radiculopathy (may be covered by cervical spondylosis SOP)
  • thoracic outlet syndrome#
  • ulnar neupopathy at the wrist#
  • ulnar tunnel syndrome#

* another SOP applies

# non-SOP condition

Clinical onset

The condition typically presents with numbness and tingling in the fourth and fifth fingers on the affected side, along with medial elbow pain, numbness and paresthesia at night, and worsening of symptoms with repeated elbow flexion.  Clinical onset will be when these symptoms first began. 

Clinical worsening

The clinical course is variable.  The condition may remain stable or improve with conservative measures.  Surgical treatment may be required.