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.
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.
The ICD-9-CM consists of:
ICD-10-CM Code for Central pain syndrome G89. 0.
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-Code M54. 5 is a billable ICD-10 code used for healthcare diagnosis reimbursement of chronic low back pain. Its corresponding ICD-9 code is 724.2.
89.29 or the diagnosis term “chronic pain syndrome” to utilize ICD-10 code G89. 4.
Non-Covered ServiceCodeDescription64625RADIOFREQUENCY ABLATION, NERVES INNERVATING THE SACROILIAC JOINT, WITH IMAGE GUIDANCE (IE, FLUOROSCOPY OR COMPUTED TOMOGRAPHY)64999UNLISTED PROCEDURE, NERVOUS SYSTEM
ICD-10 code M54. 5, low back pain, effective October 1, 2021. That means providers cannot use M54.
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.
ICD-10 code M54. 6 for Pain in thoracic spine is a medical classification as listed by WHO under the range - Dorsopathies .
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.
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.