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
Other neuropathies
Pain caused by nerve damage, excluding cranial, diabetic, and other specified types.
Neuralgia and neuritis, unspecified
Generalized nerve pain and inflammation, not otherwise specified.
Nerve root and plexus disorders
Pain originating from compressed or damaged nerve roots and plexuses.
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?
When to use each related code
Description |
---|
Nerve damage pain |
Diabetic neuropathy |
Postherpetic neuralgia |
Coding neuropathic pain without specifying the underlying cause (e.g., diabetes, post-herpetic) leads to inaccurate coding and reimbursement.
Insufficient documentation of neuropathic pain characteristics (e.g., burning, tingling) hinders accurate code assignment and CDI efforts.
Presence of other pain diagnoses (e.g., nociceptive pain) may obscure neuropathic pain coding and impact medical necessity reviews.
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].