Wiki pain & muscle weakness due to a fracture

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Code: G89.11
Acute pain due to trauma
Parent Code Notes: 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-)

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

Coding 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)

trichards139

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Can anyone tell me if a patient is being seen for acute pain due to a fracture and pain medication is being adjusted...would you code pain first then a fracture code? I was looking at G89.11 (acute pain due to trauma) and then the fx code such as S72.91A. (fx is not pathological) Also, would you code the muscle weakness if it was also due to the fracture?

Appreciate any input, thanks
 

mitchellde

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Can anyone tell me if a patient is being seen for acute pain due to a fracture and pain medication is being adjusted...would you code pain first then a fracture code? I was looking at G89.11 (acute pain due to trauma) and then the fx code such as S72.91A. (fx is not pathological) Also, would you code the muscle weakness if it was also due to the fracture?

Appreciate any input, thanks

you will code the G89 code first for the pain and the fx code secondary, however you will not use the A as the 7th character it will be an S or a D depending on whether the fx itself has healed or if this is residual pain.
 

trichards139

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coding acute pain

Thank you so much! I did actually find good information in the 2017 ICD-10 coding guidelines under Pain - Category G89 that was very helpful.
 
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