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

ICD-10 Coding for Chronic Pelvic Pain

R10.2
G89.21

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

Also Known as:
CPP
Persistent Pelvic Pain
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Key Information: ICD-10 Coding for Chronic Pelvic Pain

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

Use ICD-10 code R10.2 for pelvic and perineal pain, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Pelvic and perineal pain

Billable Code
R10.2
Billable

Diagnostic Criteria

  • • Pain localization diagram in chart
  • • Negative pregnancy test (if applicable)
  • • Ruling out acute conditions via documentation of: 'No fever/chills', 'Normal CBC/CRP', 'Negative urinalysis'

Applicable To

  • • Pelvic pain
  • • Perineal pain

Important Notes

  • • Ensure documentation specifies the chronic nature of the pain.

Chronic pain syndrome

Billable Code
G89.21
Billable

Diagnostic Criteria

  • • Pain diary spanning ≥3 months
  • • Failed ≥2 treatment modalities documented
  • • Multidisciplinary care team involvement

Applicable To

  • • Chronic pain

Important Notes

  • • Sequence first if the encounter is for pain management.
Ancillary Codes

Additional codes that may be used with this diagnosis

G89.21

Chronic pain syndrome

Use when the encounter is primarily for pain management.

Frequently Asked Questions

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

The ICD-10 code for chronic pelvic pain is R10.2, often used with G89.21 for chronic pain management.

How do you code chronic pelvic pain?

Code chronic pelvic pain using R10.2, and if the encounter is for pain management, sequence G89.21 first.

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