Find information on Postherpetic Neuralgia diagnosis, including ICD-10 code G53.2, clinical documentation requirements, pain management, treatment options, and healthcare provider resources. Learn about the connection between shingles and PHN, diagnostic criteria, and best practices for medical coding and billing. Explore resources for patients and healthcare professionals dealing with Postherpetic Neuralgia symptoms, long-term care, and prognosis.
Also known as
Herpes zoster with postherpetic neuralgia
Pain persisting after herpes zoster infection.
Herpes zoster
Viral infection causing painful rash and blisters.
Pain in limb
Nerve pain affecting the arms or legs, sometimes from postherpetic neuralgia.
Neuralgia, neuritis and radiculitis
Generalized nerve pain, which postherpetic neuralgia is a type of.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the neuralgia following herpes zoster?
Yes
Is the zoster site specified?
No
Do NOT code as postherpetic neuralgia. Consider other neuralgia codes.
When to use each related code
Description |
---|
Pain after shingles rash |
Trigeminal neuralgia |
Diabetic neuropathy |
Coding PHN without documented history of herpes zoster (B02.x) may lead to claim denial. Proper CDI and query are crucial.
Using unspecified pain codes instead of G53.2x for PHN can result in inaccurate reporting and lost revenue. Coder training is essential.
Lack of clear documentation supporting PHN diagnosis by the provider creates compliance risks and potential audit failures. Review clinical indicators.
Patient presents with complaints consistent with postherpetic neuralgia (PHN) following a resolved episode of herpes zoster (shingles). Onset of pain was approximately [number] weeks ago, corresponding to the healing of the shingles rash located on the [location of rash, e.g., left thoracic dermatome]. The patient describes the pain as [quality of pain, e.g., burning, stabbing, shooting] and reports allodynia and hyperalgesia in the affected area. Pain severity is reported as [pain scale rating, e.g., 7/10 on the numerical rating scale] and significantly impacts activities of daily living, including [list affected activities, e.g., sleep, dressing, work]. Physical examination reveals [objective findings, e.g., mild erythema, no active vesicles, light touch eliciting pain response]. Diagnosis of postherpetic neuralgia is confirmed based on clinical presentation, history of shingles, and duration of pain exceeding three months post-rash resolution. Differential diagnoses considered included diabetic neuropathy, post-traumatic neuralgia, and musculoskeletal pain. Treatment plan includes initiation of [medication, e.g., gabapentin] titrated to effect for neuropathic pain management. Patient education provided on postherpetic neuralgia, medication side effects, and coping strategies for chronic pain. Follow-up appointment scheduled in [timeframe, e.g., two weeks] to assess treatment response and adjust therapy as needed. ICD-10 code: G53.22. Referral to pain management specialist will be considered if symptoms do not improve with initial therapy.