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Home/Diagnosis/ICD-10 Coding for Chronic Back Pain

ICD-10 Coding for Chronic Back Pain

G89.21
G89.28
G89.29

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

Also Known as:
Chronic Low Back Pain
Persistent Back Pain
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Key Information: ICD-10 Coding for Chronic Back Pain

Essential facts and insights about ICD-10 Coding for Chronic Back Pain

Use ICD-10 code G89.21 for chronic pain due to trauma, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Chronic pain due to trauma

Billable Code
G89.21
Billable

Diagnostic Criteria

  • • Pain must be linked to a documented traumatic event.

Applicable To

  • • Chronic pain following a traumatic event

Important Notes

  • • Ensure the documentation specifies the traumatic event.

Other chronic postprocedural pain

Billable Code
G89.28
Billable

Diagnostic Criteria

  • • Operative report confirming procedure
  • • Pain duration of at least 3 months post-procedure

Applicable To

  • • Chronic pain following surgical procedures

Important Notes

  • • Ensure the documentation specifies the surgical procedure.

Other chronic pain

Billable Code
G89.29
Billable

Diagnostic Criteria

  • • Documentation of chronic pain without specific cause

Applicable To

  • • Chronic pain not specified as due to trauma or surgery

Important Notes

  • • Ensure chronicity is documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

M54.5

Low back pain

Use alongside G89.21 if the pain is specifically in the lower back.

Frequently Asked Questions

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

The ICD-10 code for chronic back pain can vary based on the cause. Use G89.21 for chronic pain due to trauma, G89.28 for postprocedural pain, and G89.29 for other chronic pain.

How do you document chronic back pain?

Document chronic back pain by specifying the duration (at least 3 months), cause (trauma or surgery), and characteristics of the pain. Use terms like 'chronic' and detail any related procedures.

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