| |
|
|
| HEAD |
|
|
| Neck pain |
723.1 |
M54.2 |
| Suboccipital headache pain |
784.0 |
Headache NOS - R51 |
| Temporomandibular joint pain |
524.60 |
|
| Migraine headache, acute or chronic |
346.0-346.9 (Requires 5th digit)
|
G43.109 - G43-919 |
| Cluster headache |
339.00 unspecified
339.02 chronic
|
G44.009
G44.029
|
| Sluder's Syndrome |
337.09 |
G90.09 |
| Gardner's Syndrome |
287.2 |
D69.2 |
| Tension headache |
307.81 / 339.10-339.12 |
G44.209 |
| Vascular headache |
784.0 |
G44.11 |
| Facial pain |
784.0 |
|
| Atypical facial pain |
350.2 |
G50.1 |
| Occipital neuralgia |
723.8 |
M53.82 |
| Trigeminal |
350.1 |
G50.0 |
| Herpes Zoster |
053.0-053.9 |
B02.1 - B02.9 |
| Postherpetic trigeminal neuralgia |
053.12 |
B02.22 |
| Supraorbital neuralgia (branch trigeminal nerve) |
350.8 |
G50.8 |
| Supratrochlear neuralgia (branch of trigeminal nerve) |
350.8 |
G50.8 |
| Infra orbital neuralgia (branch of trigeminal nerve) |
350.8 |
G50.8 |
| Mental neuralgia (branch of trigeminal nerve) |
350.8 |
G50.8 |
| Facial trauma (injury) |
959.09 |
S09.93XA |
|
Intraoral neuralgia - Need more specificity to code accurately
Trigeminal neuralgia or Tic douloureux
Glossopharyngeal neuralgia
|
350.8 or 351.8
350.1
352.1
|
G50.8 / G51.8
G50.0
G52.1
|
| Auricular neuralgia - Need more specificity to code accurately |
388.5 or 352.3 |
H93.3X9 or G52.2 |
| |
|
|
| NECK |
|
|
| Vagal neuralgia |
352.3 |
G52.2 |
| Muscle spasm sternocleidomastoid muscle |
728.85 |
M62.40 - unspecified |
| Muscle spasm trapezius muscle |
728.85 |
M62.40 - unspecified |
| Intractable hiccough |
786.8 |
R06.6 |
| Psychogenic hiccough |
306.1 |
F45.8 |
| Geniculate ganglion neuralgia |
351.8 |
G51.8 |
| Geniculate ganglionitis |
351.1 |
G51.1 |
| Bell's Palsy |
351.0 |
G51.0 |
| Herpes Zoster neuritis |
053.10 |
B02.29 |
| Herpes Zoster myelitis |
053.14 |
B02.24 |
| Ramsay Hunt Syndrome (herpetic geniculate ganglionitis) |
053.11 |
B02.21 |
| Hemifacial spasm |
351.8 |
G51.8 |
| Cervical sympathetic dystrophy NOS |
337.09 |
G90.09 |
| Throat pain |
784.1 |
R07.0 |
| Larynx pain |
784.1 |
R07.0 |
| Frostbite of other and unspecified site |
991.3 |
T33.90XA (initial encounter) |
| Acute vascular insufficiency (face and upper extremities) |
459.9 |
I99.9 |
| Reflex Sympathetic Dystrophy, (cervical sympathetic or paralysis) |
337.09 |
G90.99 |
| Raynaud's Syndrome |
443.0 |
I73.00 |
| Atypical vascular headache |
784.0 |
G44.11 |
| Atypical face pain |
350.2 |
G50.1 |
| Arthritis cervical (spondylosis) |
721.0 |
M47.812 |
| Inflammation of cervical facet joints |
723.8 |
M53.82 |
| Cervical Facet Syndrome (ICD-9 does not distinguish between "cervical" or "lumbar" facet syndrome) |
724.8 |
M54.08 |
| Neck pain |
723.1 |
M54.2 |
| Suboccipital headache |
784.0 |
G44.11 |
| Shoulder pain |
719.41 |
M25.519 |
| Supra clavicular pain |
719.41 |
M25.519 |
| Upper extremity pain |
729.5 |
M79.609 |
| Face pain |
784.0 |
R51 |
| Atypical face pain |
350.2 |
G50.1 |
| Nerve pain |
351.8 |
G51.8 |
| Upper limb amputation |
|
|
| Phantom limb pain |
353.6 |
G54.6 |
| Cervical Radiculopathy |
723.4 |
M54.12 |
| Cervicalgia |
723.1 |
M54.2 |
| Cervical Spondylosis w/o myelopathy |
721.0 |
M47.812 |
| Cervical Spondylosis w/ myelopathy |
721.1 |
M47.12 |
| Cervical post laminectomy |
722.81 |
M96.1 |
| Tension type headaches |
307.81 |
G44.209 |
| Phantom limb pain |
353.6 |
G54.6 |
| Vertebral compression fractures - Cervical |
|
|
| Non-traumatic (pathological) |
733.13 |
M80.08XA - initial encounter |
| Traumatic |
805-806.19 |
|
| Diabetic polyneuropathy |
356.9 |
|
| Peripheral neuropathy |
356.9 |
G60.9 |
| Postherpetic neuralgia |
053.19 |
B02.29 |
| Unspecified Injury Neck |
|
S19.9XXA |
| |
|
|
| SHOULDER and UPPER EXTREMITY |
|
|
| Shoulder pain |
719.41 |
M25.519 |
| Upper extremity pain |
729.5 |
M79.609 |
| Acute herpes zoster, unspecified |
053.9 |
B02.9 |
| Brachial plexus neuritis |
723.4 |
M54.12 |
| Reflex sympathetic dystrophy (RSD) / Complex regional pain syndrome (CRPS Type I), upper extremity |
337.21 |
G90.519 |
| Adhesive capsulitis, shoulder |
726.0 |
M75.00 |
| Radial tunnel syndrome |
354.3 |
G56.30 |
| Median nerve entrapment syndrome |
354.0 |
G56.00 |
| Median nerve neuritis |
354.1 |
G56.10 |
| Ulnar nerve entrapment syndrome |
354.2 |
G56.20 |
| Cubital tunnel syndrome |
354.2 |
G56.20 |
| Carpal tunnel syndrome |
354.0 |
G56.00 |
| Ulnar tunnel syndrome |
354.2 |
G56.20 |
| Causalgia, upper limb |
354.4 |
G56.40 |
| |
|
|
| THORAX and CHEST WALL |
|
|
| Chest wall pain, musculoskeletal |
786.59 |
R07.89 |
| Intra-abdominal pain, upper unspecified |
789.00 |
R10.9 |
| Right upper quadrant |
789.01 |
R10.11 |
| Left upper quadrant |
789.02 |
R10.12 |
| Thoracic spinal pain |
724.1 |
M54.6 |
| Acute herpes zoster, unspecified |
053.9 |
B02.9 |
| Thoracic radiculopathy |
724.4 |
M54.14 |
| Thoracic post laminectomy syndrome |
722.82 |
M96.1 |
| Vertebral compression fractures |
|
|
| Non-traumatic (pathological) |
733.13 |
M80.08XA - initial encounter |
| Traumatic |
806.2-806.39 |
|
| Pancreatitis |
|
|
| Acute |
577.0 |
K85.9 |
| Chronic |
577.1 |
K86.1 |
| Diabetic polyneuropathy |
250.6 (requires 5th digit); 357.2 |
|
| Peripheral neuropathy |
356.9 |
G60.9 |
| Postherpetic neuralgia |
|
|
| Polyneuropathy |
053.13 |
B02.23 |
| Herpes Zoster Myelitis |
053.14 |
|
| Reflex sympathetic dystrophy (upper extremity) |
337.21 |
G90.519 |
| Abdominal pain syndrome |
789.00 |
R10.9 |
| Rib fracture |
807.0-807.9 |
|
| Arthritis of thoracic facet joints |
721.2 |
M47.814 |
| Thoracic facet syndrome |
724.8 |
M54.08 |
| Upper thorax pain |
786.59 |
R07.89 |
| Phantom breast pain |
786.59 |
R07.89 |
| |
|
|
| ABDOMEN and ABDOMINAL WALL |
|
|
| Upper abdominal pain |
|
|
| Upper right quadrant |
789.01 |
R10.11 |
| Upper left quadrant |
789.02 |
R10.12 |
| Retroperitoneal pain |
789.00-789.09 |
|
| Pre-aortic adenopathy (Enlarged lymph nodes) |
785.6 |
R59.1 |
| Post-operative scarring (painful scar NEC) |
709.2 |
L90.5 |
| Flank pain |
|
|
| Lower right quadrant |
789.03 |
R10.31 |
| Lower left quadrant |
789.04 |
R10.32 |
| Acute pancreatitis |
577.0 |
K85.9 |
| Chronic pancreatitis |
577.1 |
K86.1 |
| Venous embolization liver |
453.0 |
|
| Abdominal angina |
557.1 |
K55.1 |
| Visceral arterial insufficiency, acute |
557.0 |
K55.0 |
| Visceral arterial insufficiency, chronic |
557.1 |
K55.1 |
| Intra-abdominal pain |
789.00-789.09 |
|
| Groin Pain |
|
|
| Lower right quadrant |
789.03 |
R10.31 |
| Lower left quadrant |
789.04 |
R10.32 |
| Ilioinguinal neuralgia |
355.8 |
G57.90 |
| Iliohypogastric neuralgia |
355.8 |
G57.90 |
| Low back pain |
724.2 |
M54.5 |
| Pelvic Pain, female |
625.9 |
R39.89 |
| Pelvic Pain, male |
789.00-789.09 |
|
| Bladder Pain |
788.99 |
R39.89 |
| Painful urination |
788.1 |
R30.0 |
| Genital Pain, female |
625.9 |
R39.89 |
| Genital Pain, male |
608.9 |
N50.9 |
| Peripheral nerve entrapment |
356.9 |
G60.9 |
| |
|
|
| BACK and PELVIS |
|
|
| Adhesions in the spinal membranes |
349.2 |
G96.12 |
| Arachnoiditis |
322.9 |
G03.9 |
| Adhesions spinal nerve |
355.9 |
G58.9 |
| Adhesions spinal nerve root NOS |
724.9 |
M43.8X9 |
| Adhesions spinal nerve root cervical |
723.4 |
M54.12 |
| Adhesions spinal nerve root lumbar |
724.4 |
M54.16 |
| Kidney pain |
788.0 |
N23 |
| Ureter pain |
788.0 |
N23 |
| Painful urination |
788.1 |
R30.0 |
| Genitalia pain |
|
|
| Female |
625.9 |
R39.89 |
| Male |
608.9 |
N50.9 |
| Degenerative disc disease |
|
|
| Cervical |
722.4 |
M50.30 |
| Lumbar |
722.52 |
M51.36 |
| Thoracic |
722.51 |
M51.34
M51.35 - Thora-columbar region
|
| Site unspecified |
722.6 |
M51.9 |
| Multiple Sclerosis |
340 |
G35 |
| Pelvic pain syndrome |
|
|
| Female |
625.9 |
R39.89 |
| Male |
789.00-789.09 |
|
| Failed back syndrome (post-laminectomy) |
|
|
| Cervical |
722.81 |
M96.1 |
| Thoracic |
722.82 |
M96.1 |
| Lumbar |
722.83 |
M96.1 |
| Unspecified |
722.80 |
M96.1 |
| Vertebral compression fractures |
|
|
| Non-traumatic (pathological) |
733.13 |
M80.08XA |
| Traumatic - Lumbar/sacral/coccyx |
806.4-806.79 |
|
| Bladder Dysfunction, NEC |
596.59 |
N31.9 |
| Peripheral nerve entrapment |
356.9 |
G60.9 |
| Lumbar radiculopathy |
724.4 |
M54.16 - lumbar
M54.17 - lumbosacral
M54.15 - Thoracolumbar
M54.14 - Thoracic
|
| Endometriosis, site unspecified |
617.9 |
N80.9 |
| Reflex sympathetic dystrophy (chronic regional pain syndrome Type I), lower extremity |
337.22 |
G90.529 |
| Causalgia |
|
|
| Unspecified |
355.9 |
G58.9 |
| Lower limb |
355.71 |
G57.70 |
| Upper Limb |
354.4 |
G56.40 |
| Proctalgia fugax |
564.6 |
K59.4 |
| Radiation enterocolitis |
558.1 |
K52.0 |
| Pelvic pain syndrome |
|
|
| Female |
625.9 |
R39.89 |
| Male |
789.00-789.09 |
|
| Rectal pain |
569.42 |
K62.89 |
| Herpes zoster, acute, unspecified |
053.9 |
B02.29 |
| Postherpetic, neuralgia |
053.19 |
B02.29 |
| Perineum pain |
|
|
| Female |
625.9 |
R39.89 |
| Male |
608.9 |
N50.9 |
| Genitalia pain |
|
|
| Female |
625.9 |
R39.89 |
| Male |
608.9 |
N50.9 |
| Psychogenic |
307.89 |
F45.42 |
| Inflammation of purdendal nerve |
729.2 |
M79.2 |
| Vulvar/vaginal itching |
698.1 |
L29.3 |
| Psychogenic Puritus |
306.3 |
F45.8 |
| Fracture of lower limb |
820-829 |
|
| Hip |
820.00-820.9 |
|
| Upper leg (femur) |
821.00-821.39 |
|
| Knee (patella closed) |
822.0 |
S82.009A 0 initial |
| Knee (patella open) |
822.1 |
S82.0098B - initial |
| Lower leg (tibia-fibula) |
823.00-823.9 |
S82.109A-S82.90XC |
| Ankle |
824.0-824.9 |
S82.53XA-S82.899C |
| Herpes Zoster, acute unspecified |
053.9 |
B02.9 |
| Lumbar plexitis (lumbosacral plexus lesions) |
353.1 |
G54.1 |
| Motor sensory impairment - mechanical and motor problems with neck and trunk |
V48.3 |
R68.89 |
| Motor sensory impairment - sensory problem with neck and trunk |
V48.5 |
R68.89 |
| Lower extremity pain |
729.5
|
M79.609 |
| Joint Pain |
|
|
| Ankle |
719.47 |
M25.579 |
| Hip |
719.45 |
M25.559 |
| Knee |
719.46 |
M25.569 |
| Pelvic region |
719.45 |
M25.559 |
| Diabetic femoral neuropathy (autonomic) |
250.6 (requires 5th digit), 337.1 |
|
| Meralgia paresthetica |
355.1 |
G57.10 |
| Peripheral nerve entrapment |
356.9 |
G60.9 |
| Phantom limb pain |
353.6 |
G54.6 |
| Reflex sympathetic dystrophy (RSD); Complex regional pain syndrome (CRPS Type I), lower limb |
337.22 |
G90.529 |
| Causalgia, lower limb |
355.71 |
G57.70 |
| Peripheral neuropathy, lower extremity NEC |
440.20 |
G57.90 |
| Venous insufficiency |
459.81 |
I87.2 |
| Vasospasm |
443.9 |
I73.9 |
| Vaso-occlusive disease |
443.9 |
I73.9 |
| Frostbite, foot |
991.2 |
T33.829A - initial |
| Arteriosclerosis |
440.20-440.9 |
I70.90 |
| Arteriosclerosis, extremities (native artery) NEC |
440.20 |
I70.209 |
| Arteriosclerosis, extremities (bypass graft) |
440.30 |
I70.399 |
| Autologous vein |
440.31 |
I70.499 |
| Nonautologous biological |
440.32 |
I70.599 |
| Buerger's disease |
443.1 |
I73.1 |
| Arteritis, unspecified |
447.6 |
I77.6 |
| Flank pain |
|
|
| Lower right |
789.03 |
R10.31 |
| Lower left |
789.04 |
R10.32 |
| Herpes Zoster, acute, unspecified |
053.9 |
B02.9 |
| Postherpetic, neuralgia, unspecified |
053.19 |
B02.29 |
| Groin pain |
|
|
| Lower right |
789.03 |
R10.31 |
| Lower left |
789.04 |
R10.32 |
| Lumbar fracture |
|
|
| Pathological |
733.13 |
M80.08XA - initial |
| Traumatic, closed |
806.4 |
must know level |
| Traumatic, open |
806.5 |
must know level |
| Arthritis, lumbar facet joints |
721.3 |
M47.817 |
| Lumbar facet syndrome |
724.8 |
M54.08 |
| Hip pain |
719.45 |
M25.559 |
| Coccyx pain (coccygodynia) |
724.79 |
M53.3 |
| Thigh pain (lower extremity) |
729.5 |
M79.609 |
| Lower abdominal pain, right |
789.03 |
R10.31 |
| Lower abdominal pain, left |
789.04 |
R10.32 |
| Rectal pain |
569.42 |
K62.89 |
| Anal pain |
569.42 |
K62.89 |
| Retroperitoneal pain |
789.00-789.09 |
|
| Ureteral calculi |
592.1 |
N20.1 |
| Lumbar radiculopathy |
724.4 |
M54.16 |
| Lumbosacral radiculopathy |
724.4 |
M54.17 |
| Thoracolumbar radiculopathy |
724.4 |
M54.15 |
| Thoracic radiculopathy |
724.4 |
M54.14 |
| Low back syndrome |
724.2 |
M54.5 |
| Spinal stenosis, unspecified |
724.00 |
M48.00 |
| Lumbar |
724.02 |
M48.06 |
| Post-laminectomy syndrome, lumbar |
722.83 |
M96.1 |
| Lumbar stenosis with neurogenic claudication |
724.03 |
|
| Diabetic polyneuropathy |
250.6 (requires 5th digit); 357.2 |
|
| Peripheral neuropathy |
356.9 |
G60.9 |
| Orchalgia (neuralgia, scrotum) |
608.9 |
N50.9 |
| Proctalgia |
569.42 |
K62.89 |
| Transverse myelitis |
323.82 |
G04.89 |
| Adhesions, epidural |
349.2 |
G96.12 |
| Entrapment |
|
|
| Obturator never |
355.79 |
G57.80 |
| Neuritis, sciatic nerve |
724.3 |
M54.30 |
| Tarsal tunnel syndrome |
355.5 |
G57.50 |
| |
|
|
| GENERAL PAIN CODES |
|
|
| Central pain syndrome |
338.0 |
G89.0 |
| Acute pain due to trauma |
338.11 |
G89.11 |
| Acute post-thoracotomy pain |
338.12 |
G89.12 |
| Other acute postoperative pain |
338.18 |
G89.18 |
| Other Acute Pain |
338.18 |
G89.18 |
| Chronic pain due to trauma |
338.21 |
G89.21 |
| Chronic post-thoracotomy pain |
338.22 |
G89.22 |
| Other chronic postoperative pain |
338.28 |
G89.28 |
| Other chronic pain |
338.29 |
G89.28 |
| Neoplasm related pain (acute or chronic) |
338.3 |
G89.3 |
| Chronic pain syndrome |
338.4 |
G89.4 |