Table 3 lists the ICD 9 and ICD 10 code numbers for the 5 major classes of pain diagnoses. The protocol here lists 15 symptoms, and we suggest that the presence of at least 7 of these symptoms indicates the presence of centralized pain. Consequently, Practical Pain Management convened a consensus task force to draft this report and provide a simple and rapid protocol to clinically diagnose the presence of pain centralization. The recognition and treatment of centralized pain probably is the biggest unmet need in pain management. For example, we suggest central neuropathic or central intractable pain. 28. Berger A, Toelle T, Sadosky A, Dukes E, Edelsberg J, Oster G. Clinical and economic characteristics of patients with painful neuropathic disorders in Germany. Economic and humanistic burden of post-trauma and post-surgical neuropathic (PTPS NeP) among adults in the United States. If you noticed a skin growth that might be a skin tag, it is best to have the growth checked out by your local veterinarian.