On the HPI section of the notes it says the patient suffers from chronic rectal pain - so not sure if that info will allow me to use G89?With everything you just gave me, I would not use a G89 code because the rectal pain it is not specified as acute, chronic, neoplasm-related, or postprocedural. As for the principal, whatever condition the block was for I would code that as principal since that is what brought the patient in and had them get the injection.
Yea I would code rectal pain and anal spasm as long as there is no excludes 1 for either of those codes and they can be coded together.thanks that is helpful to know.
I'm also thinking if it would be appropriate in this case to try anal spasms for the Dx.
K59.4 Anal Spasm is also an option