ICD-10 Coding for Intercostal Neuralgia(G58.0)
Complete ICD-10-CM coding and documentation guide for Intercostal Neuralgia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Intercostal Neuralgia
G58-G59Primary Range
Nerve root and plexus disorders
This range includes codes for various neuropathies, including intercostal neuralgia.
Viral infections characterized by skin and mucous membrane lesions
Includes codes for herpes zoster, which can cause post-herpetic neuralgia.
Complications of surgical and medical care, not elsewhere classified
Includes codes for post-surgical complications that may lead to neuralgia.
Key Information: ICD-10 code for intercostal neuralgia
Essential facts and insights about Intercostal Neuralgia
Primary ICD-10-CM Code for intercostal neuralgia
Decision Criteria
clinical Criteria
- Presence of shooting or burning pain along ribs
coding Criteria
- Code G58.0 should follow any code for an underlying cause
documentation Criteria
- Document specific pain characteristics and any imaging findings
Applicable To
- Intercostal neuralgia
Excludes
- Post-thoracotomy pain syndrome (G89.28)
Clinical Validation Requirements
- Pain descriptors such as 'shooting' or 'burning' along ribs
- Tenderness at infracostal groove
- MRN showing T2 hyperintensity of intercostal nerve
Code-Specific Risks
- Incorrect sequencing with underlying conditions
- Using general chest pain codes instead
Coding Notes
- Ensure proper sequencing when an underlying cause is present.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Intercostal Neuralgia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G58.0.
Impact
Clinical: May lead to inappropriate treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims or reduced reimbursement.
Mitigation Strategy
Ensure documentation supports neuralgia diagnosis., Use specific codes when criteria are met.
Impact
Reimbursement: Incorrect sequencing can lead to denied claims., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate data on patient conditions and treatments.
Mitigation Strategy
Always code the underlying cause first, followed by G58.0.
Impact
Failure to sequence codes correctly when an underlying cause is present.
Mitigation Strategy
Educate staff on proper sequencing rules and review coding guidelines regularly.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Intercostal Neuralgia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Intercostal Neuralgia
Use these documentation templates to ensure complete and accurate documentation for Intercostal Neuralgia. These templates include all required elements for proper coding and billing.
Post-surgical intercostal neuralgia
Specialty: Pain ManagementRequired Elements
- Pain characteristics
- Anatomical location
- Etiological link
- Objective findings
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Intercostal Neuralgia? Ask your questions below.