Neurology & Pain Management Coding Alert

Think you know how to report your Herpes zoster diagnoses in ICD-10? Take a look at these scenarios and test your ability to narrow down to the correct code for these conditions in ICD-10. Example 1: If you read that the patient developed a T5 radiculopathy following an episode of Herpes zoster infection, you will turn to code B02.29 in ICD-10. This clearly does not fall in any other specific category of complications. Example 2: If the neurologist notes the patient has an erythematous vesicular rash around the ear, a mucosal rash in the oropharynx, and a facial palsy, with a diagnosis of geniculate ganglionitis, you report ICD-10 code B02.21. Example 3: Your pain management provider documents the patient has trigeminal neuralgia due to VZV with patient complaints of pain in the jaw and cheeks and reported electric shock-like stabs subsequent to having developed a skin rash in the past. [...]