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Home/Diagnosis/ICD-10 Coding for Generalized Pain

ICD-10 Coding for Generalized Pain

R52
G89.29
M79.7

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

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

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

Use ICD-10 code R52 for pain, unspecified, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Pain, unspecified

Billable Code
R52
Billable

Diagnostic Criteria

clinical:
  • • Pain is generalized and no specific diagnosis is determined.

Applicable To

  • • Generalized pain without specific diagnosis

Important Notes

  • • Ensure documentation supports the use of an unspecified code.

Other chronic pain

Billable Code
G89.29
Billable

Diagnostic Criteria

clinical:
  • • Pain duration ≥3 months
  • • Impact on daily activities

Applicable To

  • • Chronic generalized pain

Important Notes

  • • Document chronicity and impact on function.

Fibromyalgia

Billable Code
M79.7
Billable

Diagnostic Criteria

clinical:
  • • WPI ≥7 and SS ≥5
  • • ≥11 tender points

Applicable To

  • • Generalized pain with fibromyalgia criteria

Important Notes

  • • Ensure documentation of tender points and symptom severity.
Frequently Asked Questions

What is the ICD-10 code for generalized pain?

The ICD-10 code for generalized pain is R52, used when no specific diagnosis is available. For chronic pain, use G89.29.

How do you code chronic generalized pain?

Chronic generalized pain is coded as G89.29 when pain persists for 3 months or more and impacts daily activities.

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