Discussion on the Coding of Minimally Invasive Interventional Treatment for Peripheral Nerve Pain
Peripheral neuropathic pain is the most common chronic pain disease in clinical practice.Minimally invasive interventional treatment technologies such as nerve block,chemical destruction,radiofrequency thermocoagulation and pulsed radiofrequency that have emerged in recent years have significant effects on it.This article discusses the classification of such techniques in ICD-9-CM-3,focusing on anatomical sites and procedure.The former is divided into 03 spinal nerves,04 cranial nerves and peripheral nerves,05 sympathetic nerves;The latter includes injection,destruction and other procedures.In coding practice,it is necessary to identify the specific location of the nerves and clarify the key points of interventional surgery techniques to avoid coding errors.In addition,this article addresses the issue of missing clinical diagnosis and treatment information due to the absence of specific neuroanatomical locations in the corresponding extended codes in the National Clinical 3.0 version of the coding library,as well as the lack of specific classifications for emerging technologies.Combined with the development characteristics of pain medicine,this article proposes solutions such as adding extended codes under corresponding sub-headings or sub-headings.
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