Chronic primary visceral pain

Description

Chronic primary visceral pain is chronic pain localized in the thoracic, abdominal or pelvic region, and is associated with significant emotional distress or functional disability. The distinct anatomical location is compatible with typical referral pain patterns from specific internal organs. The symptoms are not better explained by a diagnosis of chronic secondary visceral pain. Chronic primary visceral pain is multifactorial: biological, psychological and social factors contribute to the pain syndrome. The diagnosis is appropriate independently of identified biological or psychological contributors unless another diagnosis would better account for the presenting symptoms.

Coding note from above levels

Other chronic pain diagnoses to be considered are chronic cancer-related pain, chronic postsurgical or posttraumatic pain, chronic neuropathic pain, chronic secondary headache or orofacial pain, chronic secondary visceral pain and chronic secondary musculoskeletal pain.

This code should be used if a pain condition persists or recurs for longer than 3 months.

Inclusions

• Chronic primary chest pain syndrome
• Chronic primary epigastric pain syndrome
• Chronic primary bladder pain syndrome
• Chronic primary pelvic pain syndrome
• Chronic primary abdominal pain syndrome

Excludes

• GA34.2 – Female pelvic pain NOS
• MD81.4 – Chronic abdominal pain NOS

Exclusions from above levels

• MG31 – Acute pain
• 8E43 – Pain disorders
• AB70.2 – Ear pain