Pain ICD-10-CM Codes | 2023

What ICD-10 Codes are Used for Pain? 

Many ICD-10 codes are commonly used for pain. Some of the most common include the ones listed below:

1. R25

ICD-10 code R52 serves as a catch-all code to classify pain not explicitly described by another code. When a patient's pain symptoms do not align with a more specific code, healthcare professionals can assign the code as it acts as the general category for any type of pain.

2. G89.0

Assigned to central pain syndrome, G89.0 is used for pain that is caused by damage to the central nervous system. This syndrome, involving the brain and spinal cord, presents diverse symptoms that can differ among individuals. 

3. G89.1 

When the pain is not caused by an injury, surgery, or underlying medical condition, ICD-10 code G89.1 is used. Acute pain refers to a sudden and intense sensation of discomfort that typically arises from tissue damage or injury. It serves as a warning signal to the body, signaling the presence of a potential problem.

4. G89.2

One of the most commonly used Pain ICD Codes is for chronic pain not caused by a specific condition. When a patient experiences persistent or recurrent pain that lasts beyond the expected healing time or is not associated with a particular disease or injury.

5. G89.3

Regarding neoplasm-related pain, both in acute and chronic forms, G89.3 is the ICD-10 code to be used. This code is specifically assigned when a patient experiences pain that is directly caused by the presence of a neoplasm or tumor. The pain can occur due to the tumor pressing on nearby structures, invading tissues, or causing inflammation.

6. G89.4

Used for chronic pain that is accompanied by other symptoms, such as fatigue, sleep disturbance, and anxiety. It is where an individual experiences persistent or recurrent pain that lasts beyond the expected healing time or underlying cause. 

Note that other specific codes for pain are localized to certain areas of the body. There will be an ICD-10 code for abdominal pain, chest pain, right knee pain, etc.

Which Pain ICD codes are Billable?

All the codes provided are valid and billable ICD-10 codes that serve the purpose of classifying pain.

Clinical Information

• Pain ICD codes provide a standardized classification system for documenting different types of pain in clinical practice.
• They facilitate accurate diagnosis, treatment planning, and research related to pain conditions.
• Pain ICD codes cover a wide range of pain conditions, including acute and chronic pain and various underlying causes.
• These codes allow for the classification of pain resulting from injuries, surgeries, diseases, and other medical conditions.
• Some pain codes are specific to particular body regions, while others capture more general categories.
• Accurate coding of pain conditions is essential for reimbursement, billing processes, and healthcare resource allocation.
• Pain ICD codes support efficient communication among healthcare providers, ensuring relevant clinical information is conveyed.
• They contribute to improved patient care, research endeavors, and the overall understanding of pain-related issues in healthcare.

Synonyms Include:

• Nociception
• Excruciating pain
• Discomfort
• Distress
• Ache