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Home/Diagnosis/ICD-10 Coding for Body Pain

ICD-10 Coding for Body Pain

G89.11
M54.5

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

Also Known as:
Generalized Pain
Widespread Pain
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Key Information: ICD-10 Coding for Body Pain

Essential facts and insights about ICD-10 Coding for Body Pain

Use ICD-10 code G89.11 for acute pain due to trauma, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Acute pain due to trauma

Billable Code
G89.11
Billable

Diagnostic Criteria

clinical:
  • • Acute pain following a traumatic event
coding:
  • • Primary reason for encounter is pain management

Applicable To

  • • Acute post-traumatic pain

Important Notes

  • • Ensure documentation specifies the acute nature and traumatic cause of the pain.

Low back pain

Non-Billable
M54.5
Non-Billable

Diagnostic Criteria

clinical:
  • • Documented low back pain without specific etiology

Applicable To

  • • Lumbago

Important Notes

  • • Avoid using M54.5 if a more specific code like M54.51 applies.
Ancillary Codes

Additional codes that may be used with this diagnosis

M54.2

Cervicalgia

Use alongside G89.11 if the pain is localized to the neck.

Frequently Asked Questions

What is the ICD-10 code for body pain?

The ICD-10 code for unspecified body pain is R52, but specific conditions like acute or chronic pain have distinct codes such as G89.11 for acute pain due to trauma.

How do you code chronic low back pain?

Chronic low back pain is coded as M54.5 unless a specific cause like vertebrogenic pain is documented, in which case M54.51 is used.

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