Chronic peripheral neuropathic pain

Description

Chronic peripheral neuropathic pain is chronic pain caused by a lesion or disease of the peripheral somatosensory nervous system. The pain may be spontaneous or evoked, as an increased response to a painful stimulus (hyperalgesia) or a painful response to a normally nonpainful stimulus (allodynia). The diagnosis of peripheral neuropathic pain requires a history of peripheral nervous system injury or disease and a neuroanatomically plausible distribution of the pain. Negative (e.g., decreased or loss of sensation) and positive sensory symptoms or signs (e.g., allodynia or hyperalgesia) indicating the involvement of the peripheral somatosensory nervous system must be compatible with the innervation territory of the affected nervous structure.

Coding note from above levels

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

Inclusions

• Chronic neuropathic pain after peripheral nerve injury
• Chronic painful polyneuropathy
• Chronic painful radiculopathy

Exclusions from above levels

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