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Home/Diagnosis/ICD-10 Coding for Lower Extremity Pain

ICD-10 Coding for Lower Extremity Pain

M79.604
G89.21

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

Also Known as:
Leg Pain
Thigh Pain
Calf Pain
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Key Information: ICD-10 Coding for Lower Extremity Pain

Essential facts and insights about ICD-10 Coding for Lower Extremity Pain

Use ICD-10 code M79.604 for pain in right leg, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Pain in right leg

Billable Code
M79.604
Billable

Diagnostic Criteria

  • • Pain is localized to the right leg with no other underlying condition.

Applicable To

  • • Right leg pain

Important Notes

  • • Ensure documentation specifies the exact location and nature of the pain.

Chronic pain due to trauma

Billable Code
G89.21
Billable

Diagnostic Criteria

  • • Pain persists for more than 3 months post-trauma.
  • • Documented history of trauma leading to chronic pain.

Applicable To

  • • Chronic post-traumatic pain

Important Notes

  • • Chronic pain codes should be sequenced first when the encounter is for pain management.
Ancillary Codes

Additional codes that may be used with this diagnosis

G57.71

Causalgia of right lower limb

Use when neuropathic pain is present, complicating the primary condition.

Frequently Asked Questions

What is the ICD-10 code for lower extremity pain?

The ICD-10 code for unspecified lower extremity pain is M79.606. For specific locations, use codes like M79.604 for right leg pain.

How do you code chronic lower extremity pain?

Chronic lower extremity pain is coded with G89.21 for chronic pain due to trauma, alongside a site-specific code like M79.604.

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