The submitted CPT/HCPCS code must describe the service performed. The medical record must clearly indicate the number of injections given per session and the site (s) injected. Furthermore, the medical record must clearly document the medical necessity for repeated injections of trigger point (s).
Compliance with the provisions in LCD L33912, Injection of Trigger Points may be monitored and addressed through post payment data analysis and subsequent medical review audits. The following ICD-10-CM codes support medical necessity and provide limited coverage for CPT codes: 20552 and 20553.
When epidural injections (62321, 62323 64479, 64480, 64483 or 64484) are used for postoperative pain management, the diagnosis code restrictions in this article do not apply. When epidural injection (62323) is used for an implantable infusion pump trial, the diagnosis code restrictions in this article do not apply.
abdomen pain ( R10.-) spine pain ( M54.-) Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.
The ICD-10-CM Index indicates that pain NOS is reported with code R52 (Pain, unspecified).
18.
ICD-10-CM Code for Pain, unspecified R52.
ICD-10 code Z51. 81 for Encounter for therapeutic drug level monitoring is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
When postoperative pain is not associated with a specific postoperative complication, it is assigned to the appropriate postoperative pain code in category 338. Postoperative pain from a complication (such as a device left in the body) is assigned to the appropriate code(s) found in chapter 17, Injury and Poisoning.
Postoperative pain can be divided into acute pain and chronic pain. Acute pain is experienced immediately after surgery (up to 7 days) and pain which lasts more than 3 months after the injury is considered to be chronic pain. Acute and chronic pain can arise from cutaneous, deep somatic or visceral structures.
ICD-10 code G89. 1 for Acute pain, not elsewhere classified is a medical classification as listed by WHO under the range - Diseases of the nervous system .
89.29 or the diagnosis term “chronic pain syndrome” to utilize ICD-10 code G89. 4. If not documented, other symptom diagnosis codes may be utilized.
9: Fever, unspecified.
Other complications following infusion, transfusion and therapeutic injection, initial encounter. T80. 89XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Code Z13. 89, encounter for screening for other disorder, is the ICD-10 code for depression screening.
ICD-10 Codes for Long-term TherapiesCodeLong-term (current) use ofZ79.84oral hypoglycemic drugsZ79.891opiate analgesicZ79.899other drug therapy21 more rows•Aug 15, 2017