Chapter 6 Nervous System

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Can code G89 be used for principal Dx or first listed code?

Only when pain or pain management is the reason for encounter.

Can code G89 be used to provide more detail of chronic pain, a cure pain, and neoplasms related to pain?

Yes

If code describes the site of the pain, but does not fully describe if pain is Acute or Chronic, then both codes should be used!

Yes

Do you code post op pain with complications?

Yes, if needed code additional codes to identify acute, or chronic pain G89.18 or G89.28

If the pain is in your knee and no other cause which code do u use?

G89

Sequencing G89 site specific pain codes

If encounter is for pain control or pain management, assign code G89 followed by specific site of pain. Ex: acute neck pain from trauma is assigned G89.11, Acute pain due to trauma followed by code M54.2, cervicalgia to identify site of pain

Chronic Pain

Is classified to subcategories G89.2. There is no time frame defining when pain becomes chronic. Providers documentation should be used to guide use of these codes

If pain definite Dx is known, can u use code G89?

No

Can you code routine post op pain?

No the providers documentation should be used to guide the coding for post op pain

Neoplasms related pain

Code G89.3 is assigned to pain documented as being related to cancer. Primary, secondary, malignancy or tumor. Codes are assigned whether it is chronic pain or acute.

Pain- site specific

Codes from category G89 may be used in conjunction with codes that identify the site of pain.

Pain (G89)

This code can be used in conjunction with other codes from other chapters and categories to provide more detail of disease

If a definitive Dx has NOT been confirmed by provider, assign code for specific site of pain first, followed by the appropriate code for Category G89

True

If the cause of the pain is known what should I do?

Use that code for the know cause, plus code G89


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