tci ED Coding & Reimbursement Alert - 2007 Issue 7

READER QUESTIONS: Chronic Pain Syndrome Diagnosis May Not Be Specific Enough

Question: What is the best diagnosis code for chronic pain syndrome?Indiana Subscriber Answer: -Chronic pain syndrome- is a vague diagnosis, which means it sometimes becomes a catchall term for several pain conditions. ICD-9 directs you to code 338.4 (Chronic pain syndrome) for the condition.Other diagnosis possibilities for chronic pain syndrome include fibromyalgia/muscular pain (729.1, Myalgia and myositis, unspecified); reflex sympathetic dystrophy/regional pain syndrome (337.2x, Reflex sympathetic dystrophy) or peripheral neuropathy (337.0, Idiopathic peripheral autonomic neuropathy) caused by either diabetes (250.6x, Diabetes with neurological manifestations) or amyloidosis (277.30, Amyloidosis, unspecified). Among the...

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