Pain, unspecified. R52 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM R52 became effective on October 1, 2018. This is the American ICD-10-CM version of R52 - other international versions of ICD-10 R52 may differ. A type 1 excludes note is a pure excludes.
G89.2 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. The 2022 edition of ICD-10-CM G89.2 became effective on October 1, 2021.
Pain, unspecified acute and chronic pain, not elsewhere classified ( ICD-10-CM Diagnosis Code G89 G89 Pain, not elsewhere classified G89.0... localized pain, unspecified type - code to pain by site, such as: abdomen pain ( ICD-10-CM Diagnosis Code R10 R10 Abdominal and pelvic pain R10.0 Acute ...
The ICD-10-CM guidelines state that if the cause of the pain is known, you should assign a code for the underlying diagnosis, not the pain code. However, if the purpose of the encounter is to manage the pain rather than the underlying condition, then you should assign a pain code and sequence it first.
ICD-10-CM R26.
R26. 81 - Unsteadiness on feet. ICD-10-CM.
ICD-10-CM Code for Muscle weakness (generalized) M62. 81.
Z74.0Z74. 0 - Reduced mobility | ICD-10-CM.
R26. 9 - Unspecified abnormalities of gait and mobility. ICD-10-CM.
M62. 81 - Muscle weakness (generalized) | ICD-10-CM.
Pain in unspecified lower leg M79. 669 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM M79. 669 became effective on October 1, 2021.
ICD-10-CM Code for Other malaise and fatigue R53. 8.
606.
ICD-10-CM Code for Immobility syndrome (paraplegic) M62. 3.
Limited mandibular range of motion The 2022 edition of ICD-10-CM M26. 52 became effective on October 1, 2021. This is the American ICD-10-CM version of M26.
ICD-10-CM Code for Abnormalities of gait and mobility R26.
Pain of coccyx greater than 3 months, chronic. Clinical Information. A disorder characterized by the sensation of marked discomfort, distress or agony. An unpleasant sensation induced by noxious stimuli which are detected by nerve endings of nociceptive neurons.
Sensation of unpleasant feeling indicating potential or actual damage to some body structure felt all over, or throughout the body. Severe pain of limited duration. The sensation of discomfort, distress, or agony, resulting from the stimulation of specialized nerve endings.
It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as R52. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
Pain is a feeling triggered in the nervous system. Pain may be sharp or dull.
Once you take care of the problem, pain usually goes away. However, sometimes pain goes on for weeks, months or even years.
Category G89 contains four codes for acute and chronic post-thoracotomy pain (G89.12, G89.22) and other postprocedural pain (G89.18, G89.28). The ICD-10-CM guidelines state that you should not code “routine or expected postoperative pain immediately after surgery.” Additionally, in order to assign these codes, the physician must document that the patient’s pain is a complication of the surgery.
For example, you can assign a G89 code to indicate that the pain is acute or chronic. You should assign the site-specific pain code first unless the purpose of the encounter is pain management, in which case the G89 code is first. For example, a patient is referred for ankle x-rays for chronic right ankle pain.
Pleurodynia (R07.81): Spasms of pain in the intercostal muscles, which can be a sign of pleurisy (inflammationof the pleural membranes). Intercostal pain (R07.82): This is pain originating in the intercostal nerves, which run between pairs of adjacent ribs.
Pain that does not point to a specific body system is classified in the Symptoms and Signs chapter. For example, abdominal pain is classified to category R10. Certain specific types of pain are classified to category G89 (Pain, not elsewhere classified) in the Nervous System chapter.
Category G89 contains codes for acute (G89.11) and chronic (G89.21) pain due to trauma. You should not assign these codes if a cause for the pain (i.e., a specific injury) has been identified, except in the unlikely event that the purpose of the encounter is pain management.
The ICD-10-CM Index refers you to the code for angina (I20.9) when the patient’s chest pain is described as “ischemic.” However, other types of chest pain are reported with codes from category R07 (Pain in throat and chest). There is an exception for post-thoracotomy pain, which we’ll discuss later.
Central pain syndrome can occur as a result of stroke, multiple sclerosis, neoplasm, epilepsy, CNS trauma, or Parkinson’s disease. Patients with central pain syndrome may experience localized pain, burning, and/or numbness in specific parts of the body, or throughout the body.
The reason for the service is for pain control or pain management . Do not report codes from category G89 as the first-listed diagnosis if you know the underlying (definitive) diagnosis and the reason for the service is to manage/treat the underlying condition.
The ICD-10-CM Official Guidelines for Coding and Reporting provide extensive notes and instruction for coding pain (category G89). Review these guidelines in full. The following summary identifies key points.#N#When seeking a pain diagnosis, identify as precisely as possible the pain’s location and/or source. If pain is the primary symptom and you know the location, the Alphabetic Index generally will provide all the information you need.#N#Only report pain diagnosis codes from the G89 category as the primary diagnosis when: 1 The acute or chronic pain and neoplasm pain provide more detail when used with codes from other categories; or 2 The reason for the service is for pain control or pain management.
If pain is the primary symptom and you know the location, the Alphabetic Index generally will provide all the information you need. The acute or chronic pain and neoplasm pain provide more detail when used with codes from other categories; or. The reason for the service is for pain control or pain management.
Chronic pain may last for months or years, and may persist even after the underlying injury has healed or the underlying condition has been treated. There is no specific timeframe identifying when you can define the pain as chronic. Determine the code assignment based on provider documentation.
It can range from mild to severe and may last a few minutes or a few months. Acute pain typically does not last longer than six months and usually disappears when the physician identifies and treats the underlying cause or condition.
John Verhovshek, MA, CPC, is a contributing editor at AAPC. He has been covering medical coding and billing, healthcare policy, and the business of medicine since 1999. He is an alumnus of York College of Pennsylvania and Clemson University.