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G89.0
ICD-10-CM
Neuropathic Pain

Find information on neuropathic pain diagnosis, including clinical documentation, medical coding (ICD-10, CPT), and healthcare resources. Learn about common neuropathic pain symptoms, causes, treatment options, and differential diagnosis. This resource provides guidance for accurate medical coding and complete clinical documentation for neuropathic pain management in a healthcare setting. Explore information relevant to peripheral neuropathy, postherpetic neuralgia, diabetic neuropathy, and other related neuropathic pain conditions.

Also known as

Nerve Pain
Neuralgia

Diagnosis Snapshot

Key Facts
  • Definition : Pain caused by damage or disease affecting the nervous system.
  • Clinical Signs : Burning, tingling, numbness, shooting pain, electric shocks, allodynia, hyperalgesia.
  • Common Settings : Diabetes, postherpetic neuralgia, chemotherapy, surgery, trauma, spinal cord injury.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC G89.0 Coding
G62.8-G62.9

Other neuropathies

Pain caused by nerve damage, excluding cranial, diabetic, and other specified types.

M79.2

Neuralgia and neuritis, unspecified

Generalized nerve pain and inflammation, not otherwise specified.

G58-G59

Nerve root and plexus disorders

Pain originating from compressed or damaged nerve roots and plexuses.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the neuropathic pain associated with a diagnosed medical condition?

  • Yes

    Is it diabetic neuropathy?

  • No

    Is it phantom limb pain?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Nerve damage pain
Diabetic neuropathy
Postherpetic neuralgia

Documentation Best Practices

Documentation Checklist
  • Neuropathic pain diagnosis code
  • Document neuropathy cause (e.g., diabetes, injury)
  • Location and laterality of neuropathic pain
  • Pain quality descriptors (e.g., burning, shooting)
  • Impact on function and activities of daily living

Coding and Audit Risks

Common Risks
  • Unspecified Etiology

    Coding neuropathic pain without specifying the underlying cause (e.g., diabetes, post-herpetic) leads to inaccurate coding and reimbursement.

  • Documentation Deficiency

    Insufficient documentation of neuropathic pain characteristics (e.g., burning, tingling) hinders accurate code assignment and CDI efforts.

  • Conflicting Diagnoses

    Presence of other pain diagnoses (e.g., nociceptive pain) may obscure neuropathic pain coding and impact medical necessity reviews.

Mitigation Tips

Best Practices
  • Thorough HPI crucial for ICD-10 code specificity (G89.2).
  • Document pain descriptors (burning, tingling) for CDI accuracy.
  • Assess underlying cause, comorbid diabetes (E11.4) improves coding.
  • Review nerve conduction study results in documentation for compliance.
  • Regular follow-up, reassessment, and updated documentation essential.

Clinical Decision Support

Checklist
  • 1. Hx nerve injury, pathology, or dysfunction?
  • 2. Pain descriptors: burning, shooting, electric?
  • 3. Sensory exam: allodynia or hyperalgesia?
  • 4. Consider NCS/EMG if etiology unclear.
  • 5. Document ICD-10 code (e.g., G62.9, M79.2)

Reimbursement and Quality Metrics

Impact Summary
  • Neuropathic Pain reimbursement hinges on accurate ICD-10 coding (G62.8x, G62.9, or specific cause codes) impacting hospital revenue cycle.
  • Proper CPT coding for pain management procedures (e.g., 64400-64680) maximizes neuropathic pain billing accuracy.
  • Neuropathic pain quality metrics tracking (e.g., PROMIS-Pain) influences hospital value-based payments and public reporting.
  • Accurate documentation of pain levels, treatments, and functional impact improves coding specificity for optimal reimbursement.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code specific nerve site
  • Document pain descriptors
  • Link to underlying diagnosis
  • Consider G89.2x for chronic pain
  • Review excludes notes

Documentation Templates

Patient presents with complaints consistent with neuropathic pain.  Symptoms include burning pain, tingling sensations, numbness, electric shock-like pain, and allodynia.  Onset of neuropathic pain symptoms is described as [onset timeframe - e.g., gradual over several months, sudden following injury].  Pain is localized to [location - e.g., lower extremities, left hand, trigeminal nerve distribution] and is reported as [pain intensity scale - e.g., 7/10 on a numeric rating scale].  Patient reports pain significantly impacts activities of daily living, including sleep, mobility, and mood.  Medical history includes [relevant medical history - e.g., diabetes mellitus type 2,  herpes zoster infection, spinal stenosis, chemotherapy treatment].  Physical examination reveals [relevant findings - e.g., allodynia to light touch, decreased sensation to pinprick, diminished reflexes].  Differential diagnoses considered include radiculopathy, peripheral neuropathy, complex regional pain syndrome, and postherpetic neuralgia.  Assessment:  Neuropathic pain, likely secondary to [probable cause - e.g., diabetic peripheral neuropathy, postherpetic neuralgia].  Plan:  Initiate treatment with [treatment plan - e.g., gabapentin, pregabalin, topical lidocaine patches].  Educate patient on neuropathic pain management strategies, including medication adherence, lifestyle modifications such as regular exercise and stress reduction techniques, and potential benefits of physical therapy and occupational therapy.  Referral to pain management specialist will be considered if symptoms do not improve with initial treatment.  Follow up scheduled in [follow-up timeframe - e.g., two weeks] to assess treatment efficacy and adjust plan as needed.  ICD-10 code: [appropriate ICD-10 code - e.g., G62.9, M79.2].