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ICD-10-CM Diagnosis Codes
A00.0 | B99.9 | 1. Certain infectious and parasitic dise ... |
C00.0 | D49.9 | 2. Neoplasms (C00-D49) |
D50.0 | D89.9 | 3. Diseases of the blood and blood-formi ... |
E00.0 | E89.89 | 4. Endocrine, nutritional and metabolic ... |
F01.50 | F99 | 5. Mental, Behavioral and Neurodevelopme ... |
The ICD-10-CM is a catalog of diagnosis codes used by medical professionals for medical coding and reporting in health care settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates.
If the encounter is for pain control or pain management, assign the category 338 code followed by the specific site of pain. For example, an encounter for pain management for acute neck pain from trauma would be coded to 338.11 and 723.1.
ICD-10 code M54. 5, low back pain, effective October 1, 2021. That means providers cannot use M54.
Category G89 includes codes for acute pain, chronic pain, and neoplasm-related pain, as well as codes for two pain syndromes. In order for you to assign these codes, the physician must document that the pain is acute, chronic, or neoplasm-related.
Chronic back pain is defined as pain that continues for 12 weeks or longer, even after an initial injury or underlying cause of acute low back pain has been treated. About 20 percent of people affected by acute low back pain develop chronic low back pain with persistent symptoms at one year.
Pain disorder with related psychological factors 1 Pain disorder 2 Pain disorder assoc w medical and psychological disorders 3 Pain disorder associated with medical and psychological disorder 4 Pain disorder with psychological factor 5 Pain disorder with psychological factors
A code also note instructs that 2 codes may be required to fully describe a condition but the sequencing of the two codes is discretionary, depending on the severity of the conditions and the reason for the encounter.
As you can see the code 338.4 was not included in with that particular guideline so it was therefore assumed that it could be assigned with a documented definitive diagnosis.
No, the guidelines in ICD-10 are different than that in ICD-9.