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.

Migraine; unspecified; not intractable; without status migraino- G43.909 M25.571 Pain in right ankle and joints of right foot sus

G62.9 Polyneuropathy; unspecified M46.00 Spinal enthesopathy, site unspecified

G89.29 Other chronic pain M46.1 Sacroiliitis, not elsewhere classified

G89.3 Neoplasm related pain (acute) (chronic) M46.96 Unspecified inflammatory spondylopathy, lumbar region

G89.4 Chronic pain syndrome M47.22 Other spondylosis with radiculopathy, cervical region

M06.9 Rheumatoid arthritis, unspecified M47.26 Other spondylosis with radiculopathy, lumbar region

Spondylosis without myelopathy or radiculopathy, cervical M15.0 Primary generalized (osteo)arthritis M47.812 region Spondylosis without myelopathy or radiculopathy, thoracic M15.9 Polyosteoarthritis, unspecified M47.814 region Spondylosis without myelopathy or radiculopathy, lumbar M17.0 Bilateral primary osteoarthritis of knee M47.816 region Spondylosis without myelopathy or radiculopathy, lumbosacral M17.9 Osteoarthritis of knee, unspecified M47.817 region

M19.90 Unspecified osteoarthritis, unspecified site M47.896 Other spondylosis, lumbar region

M25.50 Pain in unspecified joint M48.02 Spinal stenosis, cervical region

M25.511 Pain in right shoulder M48.061 Spinal stenosis; lumbar region without neurogenic claudication

M25.512 Pain in left shoulder M48.062 Spinal stenosis; lumbar region with neurogenic claudication

M25.519 Pain in unspecified shoulder M50.30 Other cervical disc degeneration, unspecified cervical region

M25.551 Pain in right hip M51.16 Intervertebral disc disorders with radiculopathy, lumbar region

Intervertebral disc disorders with radiculopathy, lumbosacral M25.552 Pain in left hip M51.17 region

M25.559 Pain in unspecified hip M51.26 Other intervertebral disc displacement, lumbar region

M25.561 Pain in right knee M51.34 Other intervertebral disc degeneration, thoracic region

M25.562 Pain in left knee M51.36 Other intervertebral disc degeneration, lumbar region

M25.569 Pain in unspecified knee M51.37 Other intervertebral disc degeneration, lumbosacral region M51.86 Other intervertebral disc disorders, lumbar region M79.606 Pain in leg, unspecified

Unspecified thoracic, thoracolumbar and lumbosacral interver- M51.9 M79.641 Pain in right hand tebral disc disorder

M53.3 Sacrococcygeal disorders, not elsewhere classified M79.671 Pain in right foot

M53.82 Other specified dorsopathies, cervical region M79.672 Pain in left foot

M54.10 Radiculopathy, site unspecified M79.7 Fibromyalgia

M54.12 Radiculopathy, cervical region M96.1 Postlaminectomy syndrome, not elsewhere classified

M54.14 Radiculopathy, thoracic region R25.2 Cramp and spasm

M54.15 Radiculopathy, thoracolumbar region R51 Headache

M54.16 Radiculopathy, lumbar region R52 Pain, unspecified

M54.17 Radiculopathy, lumbosacral region R53.83 Other fatigue

M54.2 Cervicalgia R56.9 Unspecified convulsions

M54.30 Sciatica, unspecified side R69 Illness, unspecified

M54.31 Sciatica, right side

M54.32 Sciatica, left side COVID-19 Serology Antibody Testing M54.41 Lumbago with sciatica, right side Encounter for screening for other viral disease. Asymptomatic, Z11.59 no known exposure, results unknown M54.42 Lumbago with sciatica, left side Encounter for observation for suspected exposure to other biological agents ruled out. Patient asymptomatic but Z03.818 M54.5 Low back pain experienced possible exposure to COVID-19 – infection ruled out. M54.6 Pain in thoracic spine Contact with and (suspected) exposure to other viral communicable diseases, is exhibiting signs/symptoms Z20.828 M54.89 Other dorsalgia associated with COVID-19 and test results are negative, inconclusive or unknown. M54.9 Dorsalgia, unspecified

M60.9 Myositis, unspecified

M62.830 Muscle spasm of back

M62.838 Other muscle spasm

M62.9 Disorder of muscle, unspecified

M79.1 Myalgia

M79.10 Myalgia; unspecified site

M79.2 Neuralgia and neuritis, unspecified

M79.601 Pain in right arm

M79.602 Pain in left arm

M79.604 Pain in right leg

M79.605 Pain in left leg