ICD-10 Code B02.23 | Postherpetic polyneuropathy Symptoms, Diagnosis, Billing

Postherpetic polyneuropathy is a complication of herpes zoster (shingles) characterized by persistent nerve pain following the resolution of the rash. This condition arises from the reactivation of the varicella-zoster virus, leading to significant morbidity. Accurate coding with ICD-10 Code B02.23 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that patients receive appropriate care and resources.

What is ICD-10 Code B02.23 for Postherpetic polyneuropathy?

ICD-10 Code B02.23 specifically denotes postherpetic polyneuropathy, a painful condition that can occur after an episode of shingles. This code should be used when documenting cases where patients experience neuropathic pain that persists beyond the acute phase of herpes zoster, facilitating accurate clinical documentation and appropriate billing for treatment and management.

ICD-10 Code B02.23 – Clinical Definition and Explanation of Postherpetic polyneuropathy

Postherpetic polyneuropathy results from nerve damage caused by the varicella-zoster virus during a shingles outbreak. The condition can lead to chronic pain and sensory disturbances, necessitating medical intervention. Prompt diagnosis and treatment are crucial to alleviate symptoms and improve quality of life.

Key Clinical Features:

• Persistent neuropathic pain following herpes zoster
• Sensory abnormalities such as tingling or numbness
• Increased sensitivity to touch (allodynia)
• Potential for significant impact on daily activities

ICD-10 Code B02.23 for Postherpetic polyneuropathy – SOAP Notes & Clinical Use

ICD-10 Code B02.23 is utilized in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans related to postherpetic polyneuropathy. This code is relevant in both acute and chronic care settings, ensuring comprehensive documentation of the patient's condition and response to therapy.

What Does ICD-10 Code B02.23 for Postherpetic polyneuropathy Mean in SOAP Notes?

In SOAP notes, ICD-10 Code B02.23 connects subjective patient-reported symptoms with objective clinical findings, facilitating a formal diagnosis of postherpetic polyneuropathy. This code supports continuity of care, aids in billing processes, and meets EHR documentation standards.

Treatment Options for ICD-10 Code B02.23 – Postherpetic polyneuropathy

Postherpetic polyneuropathy requires prompt treatment to manage pain and improve patient outcomes. While not an infectious condition, effective management strategies are essential.

Antibiotic Therapy:

Supportive Care:

• Analgesics such as NSAIDs or opioids for pain relief
• Antidepressants or anticonvulsants for neuropathic pain
• Topical treatments like lidocaine patches or capsaicin cream
• Physical therapy to improve function and mobility

Infection Control:

How to Document Symptoms of Postherpetic polyneuropathy (ICD-10 B02.23) in SOAP Notes

Subjective:

• Patient reports persistent burning pain in the affected area
• Describes episodes of tingling and numbness
• States pain worsens with touch or temperature changes
• History of shingles diagnosed 3 months prior

Objective:

• Neurological examination reveals decreased sensation in the affected dermatomes
• Tenderness noted on palpation of the affected area
• No signs of active rash or infection
• Vital signs within normal limits

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SOAP Note Guidelines for Diagnosing Postherpetic polyneuropathy (ICD-10 Code B02.23)

Assessment:

• Diagnosis: Postherpetic polyneuropathy, moderate severity
• ICD-10 Code: B02.23
• Contributing factors: Recent history of herpes zoster
• Patient reports significant impact on daily activities

Plan:

• Initiate treatment with gabapentin for neuropathic pain
• Educate patient on pain management strategies and potential side effects
• Schedule follow-up appointment in 4 weeks to assess treatment efficacy
• Consider referral to pain management specialist if symptoms persist

Treatment & Plan Section for ICD-10 Code B02.23 – Postherpetic polyneuropathy

• First-line pharmacologic treatments include gabapentin or pregabalin for neuropathic pain
• Non-pharmacologic strategies such as cognitive behavioral therapy and physical therapy
• Monitoring for treatment efficacy and side effects during follow-up visits
• Follow-up practices should include regular assessments of pain levels and functional status

Using ICD-10 Code B02.23 for Postherpetic polyneuropathy in Billing & SOAP Note Compliance

• Select accurate subcodes based on clinical severity or complications
• Document symptoms clearly under Subjective (S) and Objective (O) in SOAP notes
• Ensure treatment plans align with clinical guidelines to support justified billing
• Only list CPT codes that are commonly billed with ICD-10 Code B02.23 based on standard medical coding practices

Related ICD-10 Codes Often Used with Postherpetic polyneuropathy

• B02.21 – Herpes zoster with complications

ICD-10 Code B02.23 in Medical Billing and Insurance for Postherpetic polyneuropathy

ICD-10 Code B02.23 is critical in medical billing, particularly in hospital, ER, or infectious disease care settings.

Billing Notes:

• Ensure documentation includes detailed patient history and symptom description
• Use the code in conjunction with relevant CPT codes for comprehensive billing
• Verify that all chart elements support the diagnosis for claim approval
• Document any complications or comorbidities to justify additional coding

Common CPT Pairings: