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Home/Diagnosis/ICD-10 Coding for Unspecified Pain

ICD-10 Coding for Unspecified Pain

R52
G89.4

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

Also Known as:
Generalized Pain
Pain NOS
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Key Information: ICD-10 Coding for Unspecified Pain

Essential facts and insights about ICD-10 Coding for Unspecified 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 with no specific site identified.
documentation:
  • • No underlying cause or specific site documented.

Applicable To

  • • Generalized pain
  • • Pain NOS

Important Notes

  • • Ensure no specific site or cause is documented before using R52.

Chronic pain syndrome

Billable Code
G89.4
Billable

Diagnostic Criteria

clinical:
  • • Documentation of chronic pain lasting more than 3 months
  • • Pain management is the focus of care

Applicable To

  • • Chronic pain syndrome

Important Notes

  • • Sequence G89.4 first if pain management is the primary focus.
Frequently Asked Questions

When should R52 be used for pain coding?

R52 should be used when pain is generalized and no specific site or underlying cause is documented. Ensure documentation supports the use of an unspecified code.

What are the documentation requirements for coding unspecified pain?

Documentation must include pain characteristics such as location, duration, severity, and impact on daily activities to support the use of R52.

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