Pain Management - Commonly Used Diagnosis Codes

[Pages:2]PAIN MANAGEMENT

COMMONLY USED DIAGNOSIS CODES

Listed below are ICD-10 diagnosis codes commonly received by Dominion Diagnostics. Code descriptions were taken from the official code set, issued by the US department of Health and Human Services. This is not a complete list but depending on the nature of your practice this may be a useful tool. Please refer to an official ICD-10 CM manual for a complete listing. It is the responsibility of the ordering physician to determine, for the specific date of service, the appropriate diagnosis code(s) based on the patients signs and symptoms. ICD-10 codes are required by third party payors to confirm the medical necessity of the tests and/or profiles ordered.

Dominion Diagnostics supplying of this information is a customer service tool only and does not suggest and is not meant to suggest that any of these codes should or should not be used. Dominon Diagnostis makes no recommendation regarding the use of any particular diagnosis codes. All Diagnosis information should be reflected in the patient's medical record.

Codes that are part of the current Medicare LCD are highlighted in the list below.

G43.909 G62.9 G89.21 G89.29 G89.3 G89.4 M06.9 M10.9 M13.80 M15.0 M15.8 M15.9 M17.0 M19.90 M25.50 M25.511 M25.512 M25.519 M25.551

Migraine, unspecified, not intractable, without status migrainosus Polyneuropathy, unspecified Chronic pain due to trauma Other chronic pain Neoplasm related pain (acute) (chronic) Chronic pain syndrome Rheumatoid arthritis, unspecified Gout, unspecified Other specified arthritis, unspecified site Primary generalized (osteo)arthritis Other polyosteoarthritis Polyosteoarthritis, unspecified Bilateral primary osteoarthritis of knee Unspecified osteoarthritis, unspecified site Pain in unspecified joint Pain in right shoulder Pain in left shoulder Pain in unspecified shoulder Pain in right hip

M25.552 M25.559 M25.561 M25.562 M25.569 M25.571 M25.572 M25.78 M43.16 M43.26 M46.1 M46.96 M47.812 M47.814 M47.816 M47.817 M47.818 M48.02 M48.061

Pain in left hip

Pain in unspecified hip

Pain in right knee

Pain in left knee

Pain in unspecified knee

Pain in right ankle and joints of right foot

Pain in left ankle and joints of left foot

Osteophyte, vertebrae

Spondylolisthesis, lumbar region

Fusion of spine, lumbar region

Sacroiliitis, not elsewhere classified

Unspecified inflammatory spondylopathy, lumbar region Spondylosis without myelopathy or radiculopathy, cervical region Spondylosis without myelopathy or radiculopathy, thoracic region Spondylosis without myelopathy or radiculopathy, lumbar region Spondylosis without myelopathy or radiculopathy, lumbosacral region Spondylosis without myelopathy or radiculopathy, sacral and sacrococcygeal region Spinal stenosis, cervical region

Spinal stenosis, lumbar region without neurogenic claudication

LCD Effective Date 10/1/2021

M48.062 M48.07 M50.221 M50.222 M50.223 M50.30 M50.322 M50.323 M51.16 M51.17 M51.24 M51.26 M51.27 M51.34 M51.36 M51.37 M51.86 M53.3 M53.82 M53.86 M53.87 M53.88 M54.12 M54.14 M54.16 M54.17 M54.2 M54.30 M54.31 M54.40 M54.41

Spinal stenosis, lumbar region with neurogenic claudication Spinal stenosis, lumbosacral region Other cervical disc displacement at C4-C5 level Other cervical disc displacement at C5-C6 level Other cervical disc displacement at C6-C7 level Other cervical disc degeneration, unspecified cervical region Other cervical disc degeneration at C5-C6 level Other cervical disc degeneration at C6-C7 level Intervertebral disc disorders with radiculopathy, lumbar region Intervertebral disc disorders with radiculopathy, lumbosacral region Other intervertebral disc displacement, thoracic region Other intervertebral disc displacement, lumbar region Other intervertebral disc displacement, lumbosacral region Other intervertebral disc degeneration, thoracic region Other intervertebral disc degeneration, lumbar region Other intervertebral disc degeneration, lumbosacral region Other intervertebral disc disorders, lumbar region Sacrococcygeal disorders, not elsewhere classified Other specified dorsopathies, cervical region Other specified dorsopathies, lumbar region Other specified dorsopathies, lumbosacral region Other specified dorsopathies, sacral and sacrococcygeal region Radiculopathy, cervical region Radiculopathy, thoracic region Radiculopathy, lumbar region Radiculopathy, lumbosacral region Cervicalgia Sciatica, unspecified side Sciatica, right side Lumbago with sciatica, unspecified side Lumbago with sciatica, right side

M54.42 M54.5 M54.50 M54.6 M54.89 M54.9 M62.830 M79.10 M79.2 M79.604 M79.605 M79.641 M79.671 M79.672 M79.7 M96.1

Lumbago with sciatica, left side Low back pain Low back pain, unspecified Pain in thoracic spine Other dorsalgia Dorsalgia, unspecified Muscle spasm of back Myalgia, unspecified site Neuralgia and neuritis, unspecified Pain in right leg Pain in left leg Pain in right hand Pain in right foot Pain in left foot Fibromyalgia Postlaminectomy syndrome, not elsewhere classified

LCD Effective Date 10/1/2021

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