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Home/Diagnosis/ICD-10 Coding for Acute Postoperative Pain

ICD-10 Coding for Acute Postoperative Pain

G89.18
T81.12XA

Complete ICD-10-CM coding and documentation guide for icd-10 coding for acute postoperative pain includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Post-surgical pain
Postoperative discomfort
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Key Information: ICD-10 Coding for Acute Postoperative Pain

Essential facts and insights about ICD-10 Coding for Acute Postoperative Pain

Use ICD-10 code G89.18 for other acute postprocedural pain, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Other acute postprocedural pain

Billable Code
G89.18
Billable

Diagnostic Criteria

clinical:
  • • Pain severity and duration beyond routine expectations
documentation:
  • • Explicit mention of 'acute postoperative pain'

Applicable To

  • • Acute postoperative pain

Important Notes

  • • Ensure documentation specifies 'acute' and includes pain scale.

Pain due to surgical complication

Billable Code
T81.12XA
Billable

Diagnostic Criteria

clinical:
    documentation:
    • • Documentation of surgical complication
    • • Imaging or lab evidence of complication

    Applicable To

    • • Painful retained suture

    Important Notes

    • • Ensure complication is documented as the primary reason for pain.
    Ancillary Codes

    Additional codes that may be used with this diagnosis

    M25.561

    Pain in right knee

    Use alongside G89.18 for site-specific pain documentation.

    Frequently Asked Questions

    How is acute postoperative pain coded in ICD-10?

    Acute postoperative pain is primarily coded as G89.18 in ICD-10 when the encounter is for pain management.

    What documentation is required for coding acute postoperative pain?

    Documentation must specify 'acute postoperative pain' with details on severity, location, and response to treatment.

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