ICD-9 Codes . While phased out in 2015, you will still see ICD-9 codes on older documents. Most ICD-9 codes are three digits to the left of a decimal point and one or two digits to the right of one. For example:
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.
ICD-9-CM (2007 Version) “PAIN (338)” Codes.
89.29 or the diagnosis term “chronic pain syndrome” to utilize ICD-10 code G89. 4.
You should code this condition only when the physician specifically documents it. Chronic pain syndrome is reported with code G89. 4 (Chronic pain syndrome). ICD-10 implementation is now less than two years away.
Chronic or persistent pain is pain that carries on for longer than 12 weeks despite medication or treatment. Most people get back to normal after pain following an injury or operation. But sometimes the pain carries on for longer or comes on without any history of an injury or operation.
ICD-10 code R52 for Pain, unspecified is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
Only report pain diagnosis codes from the G89 category as the primary diagnosis when: 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.
9: Fever, unspecified.
b. Many of the guidelines focus on when to use multiple codes and the inevitable question of sequencing. The general rule is that you should sequence the G89. - pain code first when the reason for the admission or encounter is pain control or pain management.
THE FOUR MAJOR TYPES OF PAIN:Nociceptive Pain: Typically the result of tissue injury. ... Inflammatory Pain: An abnormal inflammation caused by an inappropriate response by the body's immune system. ... Neuropathic Pain: Pain caused by nerve irritation. ... Functional Pain: Pain without obvious origin, but can cause pain.
There are 3 widely accepted pain types relevant for musculoskeletal pain:Nociceptive pain (including nociceptive inflammatory pain)Neuropathic pain.Nociplastic pain.
There are two main types of chronic pain in the human body: neuropathic and nociceptive pain.
Chronic Pain. Pain is a feeling set off in the nervous system. Acute pain lets you know that you may be injured or have a problem you need to take care of. Chronic pain is different. The pain signals go on for weeks, months, or even years. The original cause may have been an injury or infection.
When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate. Includes Notes - This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
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.
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.
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.
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.
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.
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.
Anxiety, depression and anger are often present because of the stress that the pain puts on the patient. Chronic pain syndrome should not be confused with chronic pain. Code 338.4 should only be used when the physician has specifically documented this condition. Site-Specific Pain Codes.
Postoperative pain may be reported as the principal diagnosis when the reason for the encounter is postoperative pain control management. It may also be assigned as a secondary diagnosis code when the patient presents for outpatient surgery and develops an unusual or inordinate amount of postoperative pain.
Acute pain typically begins suddenly. It can range from mild to severe and may last a few minutes or a few weeks. Chronic pain lasts for weeks or months. Acute pain disappears when the pain's underlying cause is identified and treated. Acute pain may be caused by surgery, fractured bones or other injuries.
Central Pain Syndrome. Central pain syndrome , 338.0, is a neurological condition caused by damage to or dysfunction of the central nervous system. This syndrome can be caused by stroke, multiple sclerosis, tumors, epilepsy, Parkinson's disease or may be caused by brain or spinal cord injuries.