Academy of Chiropractic Personal Injury & Primary Spine Care Program
Quickie Consult 97
"Failed Back Surgery - Fibromyalgia Codes"
Dr. Ralph Latyschow from New Jersey asked a question about the correct coding for “Failed Back Surgery Syndrome.”After HE did the research on the syndrome, the answer I sent him was:
chronic pain syndrome (338.4). It is important to understand the definition of acute versus chronic pain in order for coders to select the correct code.
Acute pain is defined as pain lasting less than three to six months, or pain that is directly related to tissue damage. This is the kind of pain that is experienced from a paper cut or needle prick. Other examples of acute pain include injury, touching a hot source, crushing injury, and labor pains.
The longer pain goes on, the more susceptible it is to other influences and developing into a chronic pain problem. These influences include such things as the ongoing pain signal input to the nervous system without tissue damage, lack of exercise (physical deconditioning), a person's thoughts about the pain, as well as emotional states such as depression and anxiety.
Chronic pain is generally used to describe pain that lasts more than three to six months, or beyond the point of tissue healing. Chronic pain is usually less directly related to identifiable tissue damage and structural problems. Examples of chronic pain are chronic back pain without a clearly determined cause, failed back surgery syndrome (continued pain after the surgery has completed healed), and fibromyalgia.