ICD-10 Coding for Pudendal Neuralgia(G58.8, R10.2)
Complete ICD-10-CM coding and documentation guide for Pudendal Neuralgia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Pudendal Neuralgia
G58-G59Primary Range
Other and unspecified mononeuropathies
This range includes the primary code for pudendal neuralgia, G58.8, which is used for other specified mononeuropathies.
Symptoms and signs involving the digestive system and abdomen
Includes R10.2 for pelvic and perineal pain, which can be used as an ancillary code for pudendal neuralgia.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| G58.8 | Other specified mononeuropathies | Use when pudendal neuralgia is diagnosed based on clinical criteria and confirmed by nerve block. |
|
| R10.2 | Pelvic and perineal pain | Use as a secondary code to specify pain location when coding pudendal neuralgia. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for pudendal neuralgia
Essential facts and insights about Pudendal Neuralgia
Primary ICD-10-CM Codes for pudendal neuralgia
Decision Criteria
clinical Criteria
- Pain in pudendal nerve area, worsened by sitting, relieved by standing.
documentation Criteria
- Explicit mention of Nantes criteria and positive nerve block.
Applicable To
- Pudendal neuralgia
- Pudendal nerve entrapment
Excludes
- Traumatic neuropathy (G57.2)
Clinical Validation Requirements
- Pain in pudendal nerve distribution
- Positive pudendal nerve block
- Meets Nantes criteria
Code-Specific Risks
- Incorrectly coding as G57.2 without trauma
- Using R10.2 alone without G58.8
Coding Notes
- Ensure documentation includes Nantes criteria and nerve block results.
R10.2 - Pelvic and perineal pain
Use as a secondary code to specify pain location when coding pudendal neuralgia.
Clinical Validation Requirements
- Pain localized to pelvic or perineal region
Coding Notes
Should not be used alone for pudendal neuralgia.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Pelvic and perineal pain
R10.2Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Lesion of pudendal nerve
G57.2Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Pudendal Neuralgia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G58.8.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims or reduced reimbursement.
Mitigation Strategy
Use specific descriptors for pain, Document diagnostic criteria
Impact
Reimbursement: May lead to incorrect DRG assignment and reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data representation of the patient's condition.
Mitigation Strategy
Always pair R10.2 with G58.8 to accurately code pudendal neuralgia.
Impact
Reimbursement: Incorrect DRG assignment affecting reimbursement., Compliance: Non-compliance with ICD-10 coding rules., Data Quality: Misrepresentation of the patient's clinical condition.
Mitigation Strategy
Reserve G57.2 for cases with documented trauma.
Impact
Failure to document Nantes criteria can lead to audit issues.
Mitigation Strategy
Ensure all criteria are documented in patient records.
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 Pudendal Neuralgia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Pudendal Neuralgia
Use these documentation templates to ensure complete and accurate documentation for Pudendal Neuralgia. These templates include all required elements for proper coding and billing.
Chronic pudendal neuralgia post-cycling
Specialty: Pain ManagementRequired Elements
- Patient history
- Pain characteristics
- Nantes criteria
- Diagnostic tests
- Treatment response
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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