Phantom limb syndrome with pain

This code signifies the presence of phantom limb syndrome accompanied by painful sensations. It describes a neurological phenomenon where an individual experiences pain that seems to originate from a limb or organ that has been surgically removed or is congenitally absent. The pain can vary in intensity and character.

Use this code when a patient presents with persistent or intermittent pain localized to a missing body part. Documentation should clearly state "phantom limb syndrome with pain" or describe symptoms consistent with this diagnosis following an amputation or congenital absence. This code is appropriate for both acute and chronic presentations of phantom limb pain.

• Always sequence this code after the underlying cause of the amputation or congenital absence, if known and still relevant to the current encounter.
• Do not confuse this with phantom limb sensation without pain, which would be coded differently.
• Ensure the medical record explicitly documents the presence of pain associated with the phantom limb syndrome.