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No you can't use pain code, Unless the visits sole purpose is pain management you won't use it. Code injury code for this scenario.
 
No you can use a pain code with the external cause code. It doe s not need to be a injury per se. Maybe the only consequence of the external cause is pain.
 
mitchellde said:
No you can use a pain code with the external cause code. It doe s not need to be a injury per se. Maybe the only consequence of the external cause is pain.
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Can you tell an example of using pain code as pdx with external cause code, I haven't seen a similar scenario(am new to coding :) )
 
I am saying it could happen, you could have neck pain and the providers states it is due to an MVA. There may not be any external symptoms nor is the provider saying whiplash just acute neck pain associated with an MVA.
The M chapter has a note that if applicable you are to add the external cause code. It would be applicable if the provider documented it.
 
mitchellde said:
I am saying it could happen, you could have neck pain and the providers states it is due to an MVA. There may not be any external symptoms nor is the provider saying whiplash just acute neck pain associated with an MVA.
The M chapter has a note that if applicable you are to add the external cause code. It would be applicable if the provider documented it.
Click to expand...

k. got it, thanks. Didn't think that deep.
 
I know this post is several years old. But in my experience, You can code the Pain code, but you would not use the External cause code unless there is an injury code (such as an S code (ICD 10)). Most notes I have seen where a pain code was listed with an external cause code was rejected and had to be recoded by removing the External cause codes. Hope this helps.
 
2025 ICD-10-CM Guidelines state: "Ch. 20 a. General External Cause Coding Guidelines 1) Used with any code in the range of A00.0-T88.9, Z00-Z99. An external cause code may be used with any code in the range of A00-T88.9, Z00-Z99 classification that represents a health condition due to an external cause. Though they are most applicable to injuries, they are also valid for use with such things as infections or diseases due to an external source, and other health conditions, such as a heart attack that occurs during strenuous physical activity."
 
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