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Home/Diagnosis/ICD-10 Coding for Chronic Pain

ICD-10 Coding for Chronic Pain

G89.29
G89.4

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

Also Known as:
Persistent Pain
Long-term Pain
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Key Information: ICD-10 Coding for Chronic Pain

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

Use ICD-10 code G89.29 for other chronic pain, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Other chronic pain

Billable Code
G89.29
Billable

Diagnostic Criteria

clinical:
  • • Pain duration over 3 months
documentation:
  • • Explicit mention of 'chronic' in the medical record

Applicable To

  • • Chronic pain NOS

Important Notes

  • • Ensure chronicity is documented explicitly.

Chronic pain syndrome

Billable Code
G89.4
Billable

Diagnostic Criteria

clinical:
  • • Documentation of psychosocial dysfunction
  • • Impact on social or occupational functioning

Applicable To

  • • Chronic pain with psychosocial dysfunction

Important Notes

  • • Psychosocial dysfunction must be clearly documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

M54.5

Low back pain

Use alongside G89.29 when chronic pain is related to low back pain.

Frequently Asked Questions

What is the ICD-10 code for chronic pain?

The ICD-10 code for chronic pain is G89.29, used when chronic pain is documented without a specific underlying condition.

When should G89.4 be used?

G89.4 should be used when chronic pain is accompanied by documented psychosocial dysfunction.

How is chronic pain documented?

Chronic pain must be documented with explicit mention of 'chronic', duration over 3 months, and impact on daily activities.

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