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

ICD-10 Coding for Myofascial Pain Syndrome

M79.1
G89.4

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

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

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

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:
  • • Localized muscle pain with trigger points
documentation:
  • • Referred pain pattern documented

Applicable To

  • • Myofascial pain syndrome

Important Notes

  • • Ensure documentation specifies trigger points and referred pain to differentiate from fibromyalgia.

Chronic pain syndrome

Billable Code
G89.4
Billable

Diagnostic Criteria

clinical:
  • • Chronic pain lasting more than 3 months

Important Notes

  • • Sequence G89.4 first if the encounter is for pain management.
Ancillary Codes

Additional codes that may be used with this diagnosis

G89.4

Chronic pain syndrome

Use when the encounter is primarily for pain management.

Frequently Asked Questions

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

The ICD-10 code for myofascial pain syndrome is M79.1, which covers myalgia and includes conditions with localized muscle pain and trigger points.

How do you code chronic myofascial pain?

For chronic myofascial pain, use M79.1 for myalgia and G89.4 for chronic pain syndrome if the focus is on pain management.

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