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

ICD-10 Coding for Chronic Myofascial Pain

M79.1
G89.4

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

Also Known as:
Myofascial Pain Syndrome
Trigger Point Pain
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Key Information: ICD-10 Coding for Chronic Myofascial Pain

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

Use ICD-10 code M79.1 for myalgia, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Myalgia

Non-Billable
M79.1
Non-Billable

Diagnostic Criteria

clinical:
  • • Presence of trigger points and taut bands.
coding:
  • • Avoid using with fibromyalgia codes.

Applicable To

  • • Myofascial pain syndrome

Important Notes

  • • Ensure documentation specifies muscles and trigger points.

Chronic pain syndrome

Billable Code
G89.4
Billable

Important Notes

  • • Sequence after primary condition code.
Ancillary Codes

Additional codes that may be used with this diagnosis

M62.838

Muscle spasm

Add if spasms accompany trigger points.

Frequently Asked Questions

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

The ICD-10 code for chronic myofascial pain is M79.1, used when trigger points and taut bands are documented.

How do you document chronic myofascial pain?

Document specific muscles with trigger points, taut bands, and referred pain patterns to support the diagnosis of chronic myofascial pain.

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