Wiki Pain management guidelines ICD10?

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G
Code: G89.29

Code Name: ICD-10 Code for Other chronic pain

Block: Other disorders of the nervous system (G89-G99)

Details: Other chronic pain
G89.2

Excludes1: causalgia, lower limb (G57.7-)
causalgia, upper limb (G56.4-)
central pain syndrome (G89.0)
chronic pain syndrome (G89.4)
complex regional pain syndrome II, lower limb (G57.7-)
complex regional pain syndrome II, upper limb (G56.4-)
neoplasm related chronic pain (G89.3)
reflex sympathetic dystrophy (G90.5-)
G89

Code also: related psychological factors associated with pain (F45.42)

Excludes1: generalized pain NOS (R52)
pain disorders exclusively related to psychological factors (F45.41)
pain NOS (R52)

Excludes2: atypical face pain (G50.1)
headache syndromes (G44.-)
localized pain, unspecified type - code to pain by site, such as:abdomen pain (R10.-)
back pain (M54.9)
breast pain (N64.4)
chest pain (R07.1-R07.9)
ear pain (H92.0-)
eye pain (H57.1)
headache (R51)
joint pain (M25.5-)
limb pain (M79.6-)
lumbar region pain (M54.5)
painful urination (R30.9)
pelvic and perineal pain (R10.2)
shoulder pain (M25.51-)
spine pain (M54.-)
throat pain (R07.0)
tongue pain (K14.6)
tooth pain (K08.8)
renal colic (N23)
migraines (G43.-)
myalgia (M79.1)
pain from prosthetic devices, implants, and grafts (T82.84, T83.84, T84.84, T85.84-)
phantom limb syndrome with pain (G54.6)
vulvar vestibulitis (N94.810)
vulvodynia (N94.81-)

Guidelines: Diseases of the nervous system (G00-G99)

Excludes 2: certain conditions originating in the perinatal period (P04-P96)
certain infectious and parasitic diseases (A00-B99)
complications of pregnancy, childbirth and the puerperium (O00-O9A)
congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
endocrine, nutritional and metabolic diseases (E00-E88)
injury, poisoning and certain other consequences of external causes (S00-T88)
neoplasms (C00-D49)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

For more details on G89.29, ICD-10 Code for Other chronic pain , visit: https://coder.aapc.com/icd-10-codes/

lisa92

Networker
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Gainesville, Georgia
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Help!
Can anyone make sense of the chapter 6 guidelines for pain? I interpret them to say that if a physician is treating for pain control then the primary diagnosis is G89.29 (Other chronic pain). OK, but then under sequencing, if the specific site is known, then you code pain for that site along with chronic pain?
What about injections?
Confused:confused:
 

crollins

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Martinez, Ca
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per chapter 6a guideline when pain control is the reason for encounter for injection. the underlying cause of the pain should be reported as an additional dx if know however in the guidelines of chapter 6 it doesn't state to use additional code for injection I am assuming to code for injection would be to use CPT for what type of injection.
 

DIANA0331

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I am really confused with G vs M CODES

I do work for a pain mgmt practice and the chapter is very specific and even give examples of when patient will have the Epidural to treat the pain not to target the issue, so I assume that the doctors are doing epidurals and MBBs, etc to reduce pain and not to cure the cause of pain, so this is diagnosis and has nothing to see with CPT CODES. however my Doctor stated that if we bill for Chronic pain G89.29 the bills are going to be denied.

any clarification??? when to use G or M diagnosis ???
 

mitchellde

True Blue
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Columbia, MO
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If you read the pain guidelines you will see that you use both the G and the M codes. If you know the underlying cause of the pain and the encounter is for pain management then assuming the provider documents the pain as acute or chronic, you sequence the G89 code first, and the code for the cause of the pain secondary. If the cause is not know but the site of the pain is documented such as chronic low back pain, you sequent the G89 code first and the code for the site specific secondary
 
Last edited:

Janderson14

Guest
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Questions

Coding with modifier 25
I am confused if you have a 99214 and Go434qw, is modifier 25 accurate?
 

Ngoc Tran

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other chronic pain for Neuropsychology

Hi,

If patient encounter for Pre-surgical Psychological Evaluation for back surgery. Patient mental is a good mood, not depress or anxiety. Neuropsychology doctor put Dx is G89.29. BCBS denied. IN the ICD book they said " code also F45.42 " but this PT does not have any psychological factor as her mood is good but chronic pain. How can I get insurance to pay ? I rebilled with Z04.6 as primary and G89.29 as secondary , they still rejected. Can anyone help ? thaks.
 
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