icd-9-cm code for chronic pain syndrome

by Alicia Greenfelder 3 min read

338.4 Chronic pain syndrome - ICD-9-CM Vol.

What is the diagnosis code for chronic pain syndrome?

G89.4 is a billable diagnosis code used to specify a medical diagnosis of chronic pain syndrome. The code G89.4 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.

When to code chronic pain?

  • Chronic primary pain
  • Chronic cancer-related pain
  • Chronic post-surgical or post-traumatic pain
  • Chronic neuropathic pain
  • Chronic secondary headache or orofacial pain
  • Chronic secondary visceral pain
  • Chronic secondary musculoskeletal pain.

What is the CPT code for chronic pain?

Several of the codes are similar but vary slightly. Code 338.0 describes central pain syndrome; 338.4, Chronic pain syndrome; and 338.29, Other chronic pain. These conditions are different, and code assignments are based upon physician documentation.

What is ICD 9 diagnosis?

The ICD-9-CM consists of:

  • a tabular list containing a numerical list of the disease code numbers in tabular form;
  • an alphabetical index to the disease entries; and
  • a classification system for surgical, diagnostic, and therapeutic procedures (alphabetic index and tabular list).

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What is the ICD-9 code for chronic pain syndrome?

ICD-9 Code 338.4 -Chronic pain syndrome- Codify by AAPC.

What is the ICD-10-CM code for chronic pain?

Chronic pain syndrome is reported with code G89. 4 (Chronic pain syndrome). ICD-10 implementation is now less than two years away.

What is the code for central pain syndrome?

Code 338.0 describes central pain syndrome; 338.4, Chronic pain syndrome; and 338.29, Other chronic pain. These conditions are different, and code assignments are based upon physician documentation. Central pain syndrome is a neurological condition that can be caused by damage to the central nervous system.

What is chronic pain syndrome diagnosis?

How is chronic pain diagnosed? Pain is considered to be chronic if it lasts or comes and goes (recurs) for more than three months. Pain is usually a symptom, so your healthcare provider needs to determine what's causing your pain, if possible.

What is the ICD-10 code for pain management?

The 2022 edition of ICD-10-CM G89. 18 became effective on October 1, 2021. This is the American ICD-10-CM version of G89.

What is the ICD-10 code for neuropathic pain?

2.

What is G89 29 diagnosis?

ICD-10 code G89. 29 for Other chronic pain is a medical classification as listed by WHO under the range - Diseases of the nervous system .

Documentation: Key to Coding

Documentation is the key to the correct code assignment when coding these conditions. Several of the codes are similar but vary slightly. Code 338.0 describes central pain syndrome; 338.4, Chronic pain syndrome; and 338.29, Other chronic pain. These conditions are different, and code assignments are based upon physician documentation.

Pain Coding Guidelines

With the creation of the new codes, guidelines related to these codes were added to the ICD-9-CM Official Guidelines for Coding and Reporting, effective November 15, 2006. A thorough review of these guidelines (section I. C. 6) is important for correct code assignment.

Principal or First-Listed Diagnosis

Category 338 codes are acceptable as the principal diagnosis (or first-listed code) for reporting purposes in two instances: when the related definitive diagnosis has not been established (confirmed) or when pain control or pain management is the reason for the admission or encounter.

Use of Category 338 Codes with Pain Codes

Category 338 should be used in conjunction with site-specific pain codes (including codes from chapter 16) if category 338 codes provide additional information about the pain, such as if it is acute or chronic.

Postoperative Pain

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.

Neoplasm-Related Pain

Code 338.3 is used to classify pain related to, associated with, or due to a tumor or cancer whether primary or secondary. This code is used as the principal code when the admission or encounter is for pain control or pain management. In this case, the underlying neoplasm should be reported in addition.

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