Diagnosis Code for PN

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Emily B
Posts: 186
Joined: Sat Sep 18, 2010 1:21 am

Diagnosis Code for PN

Post by Emily B »

Is there a CPT code or dignosis code for pudendal entrapment or pudendal nueralgia?

Thanks,
Emily B.
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Violet M
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Joined: Mon Sep 06, 2010 6:04 am
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Re: Diagnosis Code for PN

Post by Violet M »

Emily, ICD 9 codes are used for a diagnosis. I googled the ICD 9 code for pudendal neurlagia and I'm not finding one. It looks like typically they use a related code such as the code for vulvodynia or prostadynia. Here are some possible codes:


602.8 Prostatodynia
601.1 Prostatitis-chronic
789.09 Pelvic pain-male
595.1 Interstitial cystitis
788.41 Frequency/uregencyurinary
604.90 Epididymitis/orchitis
625.7 Female genital disorders

For a procedure you would need the CPT code and that might vary with the individual doctor as to what CPT code they use.
PNE since 2002. Started from weightlifting. PNE surgery from Dr. Bautrant, Oct 2004. Pain now is usually a 0 and I can sit for hours on certain chairs. No longer take medication for PNE. Can work full time and do "The Firm" exercise program. 99% cured from PGAD. PNE surgery was right for me but it might not be for you. Do your research.
nyt
Posts: 1165
Joined: Sun Oct 31, 2010 3:24 am

Re: Diagnosis Code for PN

Post by nyt »

I know in my case they have used the ICD 9 code for pelvic pain 625.9. I have also seen neuralgia neuritis and radiculopathy unspecified 729.2. Some dr.'s use both in combination. There are specific does for neuropathies of the lower limb but nothing that I have seen specific for pudendal.
2/07 LAVH and TOT 7/07 TOT right side removed 9/07 IL, IH and GN neuropathy 11/07 PN - Dr. Howard
6/08 Obturator neuralgia - Dr. Conway 11/08 Disability, piriformis syndrome - Dr. Howard
4/09 Bilateral obturator decompression surgery, BLL RSD - Dr. Howard
9/10 Removed left side TOT, botox, re-evaluate obturator nerve - Dr. Hibner
2/11 LFCN and saphenous neuralgia - Dr. Dellon 2/11 MRI with Dr. Potter - confirmed entrapment
5/11 Right side TG - Dr. Hibner 2012 Left side TG - Dr. Hibner
JeanieC
Posts: 198
Joined: Tue Sep 21, 2010 11:47 pm

Re: Diagnosis Code for PN

Post by JeanieC »

My surgical pathology report states:
Clinical Indication: Pudendal nerve entrapment syndrome (ICD9 : 355.8)
Diagnosed with left side PN by Dr Renney, March 2010, after over 2 years of searching for help
Left TG Surgery, Dr Ansell, August 2010, failed to relieve pain
merrie
Posts: 114
Joined: Wed Oct 27, 2010 10:32 pm

Re: Diagnosis Code for PN

Post by merrie »

My insurance has been most responsive to the 729.2 code specified below. My dr also includes a muscle spasm code (which i don't recall off hand) due to the severe muscular involvement I also have.

Merrie
PNE onset 9/2008
Weekly pelvic floor PT since 9/2008
Numerous nerve blocks 2008 - current (pn, s2-s4 epidurals, pelvic/lumbar/splanchnic sympathetic)
PRF s2,3,4 May 2009
Numerous hip injections and trigger point injections
Numerous rounds of botox (first 12/08 - most recent 5/13)
Hibner consult / Kalinkin MRI 11/10
PT with PHRC in May 2013
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