icd-10 dx code for chronic post herpetic neuralgia

by Ms. Polly Turner MD 5 min read

22.

What are the new ICD 10 codes?

The new codes are for describing the infusion of tixagevimab and cilgavimab monoclonal antibody (code XW023X7), and the infusion of other new technology monoclonal antibody (code XW023Y7).

How to diagnose postherpetic neuralgia?

The pain symptoms associated with PHN may include:

  • Aching, burning, or stinging when the temperature changes suddenly
  • Intense irritation with a slight touch of the affected skin
  • Sensations that feel like electric shocks
  • Unbearable itching

What is the best treatment for post herpetic neuralgia?

• Tricyclic antidepressants (amitriptyline, nortriptyline, desipramine, and maprotiline), gabapentin, pregabalin, opioids, and topical lidocaine patches are effective and should be used in the treatment of postherpetic neuralgia.

What is the ICD 10 diagnosis code for?

The ICD-10-CM is a catalog of diagnosis codes used by medical professionals for medical coding and reporting in health care settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates.

What is post-herpetic neuralgia?

Post-herpetic neuralgia is a lasting pain in the areas of your skin where you had shingles. Around one in five people with shingles will get post-herpetic neuralgia. People age 50 and over are particularly at risk. Many people with post-herpetic neuralgia make a full recovery within a year.

What is postherpetic trigeminal neuralgia?

Overview. Postherpetic neuralgia (post-hur-PET-ik noo-RAL-juh) is the most common complication of shingles. The condition affects nerve fibers and skin, causing burning pain that lasts long after the rash and blisters of shingles disappear.

What is postherpetic nervous system involvement?

Postherpetic neuralgia is a painful condition that affects the nerve fibers and skin. It is a complication of shingles, and shingles is a complication of chicken pox. If the pain caused by shingles continues after the bout of shingles is over, it is known as post-herpetic neuralgia (PHN).

What is the ICD-10 code for shingles pain?

ICD-10-CM B02.

How is postherpetic neuralgia diagnosed?

Diagnosis and Tests Postherpetic neuralgia (PHN) is usually diagnosed based on your symptoms, history of having shingles and physical exam. If you've had a recent case of shingles and have pain in the area where the shingles rash once was, you likely have PHN.

Is nociceptive pain acute or chronic?

Nociceptive pain can often be acute pain. Acute pain is a kind of short-term pain that lasts less than 3 to 6 months. It can often be caused by an injury, and it will usually go away once the injury has healed. Acute, nociceptive pain often feels different from neurological or long-term pain.

Is post herpetic neuralgia neuropathy?

Postherpetic neuralgia is a neuropathic pain syndrome characterized by pain that persists for months to years after resolution of the herpes zoster rash. It stems from damage to peripheral and central neurons that may be a byproduct of the immune/inflammatory response accompanying varicella zoster virus reactivation.

Can you get postherpetic neuralgia without shingles?

Just as with a classic case of shingles, ZSH can also cause postherpetic neuralgia, although the risk is reduced.

What is post herpetic neuralgia and epilepsy?

Postherpetic neuralgia is a painful condition that affects your nerves and skin. It's a complication of herpes zoster, commonly called shingles. Shingles is a painful, blistering skin rash caused by a reactivation of the varicella-zoster virus.

What is the ICD-10 code for chronic pain?

89.29 or the diagnosis term “chronic pain syndrome” to utilize ICD-10 code G89. 4. If not documented, other symptom diagnosis codes may be utilized. Note: ICD-10 code Z45.

What is neuralgia and neuritis?

Neuralgia is type of nerve pain usually caused by inflammation, injury, or infection (neuritis) or by damage, degeneration, or dysfunction of the nerves (neuropathy). This pain can be experienced as an acute bout of burning, stabbing, or tingling sensations in varying degrees of intensity across a nerve(s) in the body.

What is neuralgia pain?

Neuralgia is a stabbing, burning, and often severe pain due to an irritated or damaged nerve. The nerve may be anywhere in the body, and the damage may be caused by several things, including: aging. diseases such as diabetes or multiple sclerosis.

Policy

Aetna considers the use of antivirals (oral), gabapentin, intrathecal, interlaminar or transforaminal epidural corticosteroids, lidocaine patch, opioids (oral), pregabalin, and tricyclic anti-depressants medically necessary for post-herpetic neuralgia (PHN).

Background

Herpes zoster (HZ) is the consequence of re-activation of the varicella zoster virus that remains latent since primary infection (varicella).Once infected with herpes zoster, the virus sequesters itself in the nerve roots. The virus has the potential to reappear, traveling down the dermatome in which it resides.

The above policy is based on the following references

Acorda Therapeutics, Inc. Qutenza (capsaicin) 8% patch. Prescribing Information. 0713920AQM-0. Ardsley, NY: Acorda Therapeutics; revised July 2013.

Where is neuralgia confined?

Typically, the neuralgia is confined to a dermatomic area of the skin, and follows an outbreak of herpes zoster (commonly known as shingles) in that same dermatomic area.

What is the B02.29 ICD code?

B02.29 is a billable ICD code used to specify a diagnosis of other postherpetic nervous system involvement. A 'billable code' is detailed enough to be used to specify a medical diagnosis.