Postherpetic polyneuropathy
ICD-10 B02.23 is a billable code used to indicate a diagnosis of postherpetic polyneuropathy.
Postherpetic polyneuropathy (PHP) is a complication that arises following an outbreak of herpes zoster, commonly known as shingles. This condition is characterized by persistent pain and sensory abnormalities in the affected dermatomes long after the rash has resolved. The underlying mechanism involves damage to the sensory nerves due to the varicella-zoster virus (VZV), which remains dormant in the dorsal root ganglia after the initial chickenpox infection. Reactivation of the virus leads to shingles, and in some patients, this can result in neuropathic pain that can last for months or even years. The pain is often described as burning, stabbing, or aching and can be accompanied by allodynia, where even light touch can provoke pain. Risk factors for developing PHP include older age, severity of the initial shingles episode, and immunocompromised states. Management typically involves pain relief strategies, including medications such as anticonvulsants, antidepressants, and topical agents. Understanding the clinical presentation and management of PHP is crucial for accurate coding and treatment planning.
Detailed neurological examination findings, including sensory and motor assessments.
Patients presenting with chronic pain following a shingles outbreak.
Documentation should include the patient's pain scale and impact on daily activities.
Comprehensive pain assessments and treatment plans.
Management of neuropathic pain with pharmacological and non-pharmacological interventions.
Consideration of multimodal pain management strategies and their documentation.
Used for pain management in patients with postherpetic polyneuropathy.
Document the specific nerve targeted and the patient's response to previous treatments.
Pain management specialists should ensure comprehensive pain assessments are included.
Postherpetic neuralgia refers specifically to the pain that persists after a shingles outbreak, while postherpetic polyneuropathy includes broader sensory abnormalities and nerve damage that may accompany the pain.
