ICD-10-CM Codes
R00-R99 Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
R50-R69 General symptoms and signs
R52- Pain, unspecified

2018/2019 ICD-10-CM Diagnosis Code R52

Pain, unspecified

2016

2017

2018

2019

Billable/Specific Code

R52 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
The 2018/2019 edition of ICD-10-CM R52 became effective on October 1, 2018.
This is the American ICD-10-CM version of R52 - other international versions of ICD-10 R52 may differ.

Applicable To

Acute pain NOS
Generalized pain NOS
Pain NOS

Type 1 Excludes

Type 1 Excludes Help

A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as R52. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

acute and chronic pain, not elsewhere classified (
ICD-10-CM Diagnosis Code G89
- G89 Pain, not elsewhere classified
  - G89.0 Central pain syndrome
  - G89.1 Acute pain, not elsewhere classified
    - G89.11 Acute pain due to trauma
    - G89.12 Acute post-thoracotomy pain
    - G89.18 Other acute postprocedural pain
  - G89.2 Chronic pain, not elsewhere classified
    - G89.21 Chronic pain due to trauma
    - G89.22 Chronic post-thoracotomy pain
    - G89.28 Other chronic postprocedural pain
    - G89.29 Other chronic pain
  - G89.3 Neoplasm related pain (acute) (chronic)
  - G89.4 Chronic pain syndrome
G89.-
)
localized pain, unspecified type - code to pain by site, such as:
abdomen pain (
ICD-10-CM Diagnosis Code R10
- R10 Abdominal and pelvic pain
  - R10.0 Acute abdomen
  - R10.1 Pain localized to upper abdomen
    - R10.10 Upper abdominal pain, unspecified
    - R10.11 Right upper quadrant pain
    - R10.12 Left upper quadrant pain
    - R10.13 Epigastric pain
  - R10.2 Pelvic and perineal pain
  - R10.3 Pain localized to other parts of lower abdome...
    - R10.30 Lower abdominal pain, unspecified
    - R10.31 Right lower quadrant pain
    - R10.32 Left lower quadrant pain
    - R10.33 Periumbilical pain
  - R10.8 Other abdominal pain
    - R10.81 Abdominal tenderness
      R10.811 Right upper quadrant abdominal tenderness
      R10.812 Left upper quadrant abdominal tenderness
      R10.813 Right lower quadrant abdominal tenderness
      R10.814 Left lower quadrant abdominal tenderness
      R10.815 Periumbilic abdominal tenderness
      R10.816 Epigastric abdominal tenderness
      R10.817 Generalized abdominal tenderness
      R10.819 …… unspecified site
    - R10.82 Rebound abdominal tenderness
      R10.821 Right upper quadrant rebound abdominal tender...
      R10.822 Left upper quadrant rebound abdominal tendern...
      R10.823 Right lower quadrant rebound abdominal tender...
      R10.824 Left lower quadrant rebound abdominal tendern...
      R10.825 Periumbilic rebound abdominal tenderness
      R10.826 Epigastric rebound abdominal tenderness
      R10.827 Generalized rebound abdominal tenderness
      R10.829 Rebound abdominal tenderness, unspecified sit...
    - R10.83 Colic
    - R10.84 Generalized abdominal pain
  - R10.9 Unspecified abdominal pain
R10.-
)
back pain (
ICD-10-CM Diagnosis Code M54.9
Dorsalgia, unspecified
Applicable To
- Backache NOS
- Back pain NOS
M54.9
)
breast pain (
ICD-10-CM Diagnosis Code N64.4
Mastodynia
N64.4
)
chest pain (
ICD-10-CM Diagnosis Code R07.1
Chest pain on breathing
Applicable To
- Painful respiration
R07.1-
ICD-10-CM Diagnosis Code R07.9
Chest pain, unspecified
R07.9
)
ear pain (
ICD-10-CM Diagnosis Code H92.0
Otalgia
H92.0-
)
eye pain (
ICD-10-CM Diagnosis Code H57.1
Ocular pain
H57.1
)
headache (
ICD-10-CM Diagnosis Code R51
Headache
Applicable To
- Facial pain NOS
Type 1 Excludes
- atypical face pain (G50.1)
- migraine and other headache syndromes (G43-G44)
- trigeminal neuralgia (G50.0)
R51
)
joint pain (
ICD-10-CM Diagnosis Code M25.5
Pain in joint
Type 2 Excludes
- pain in hand (M79.64-)
- pain in fingers (M79.64-)
- pain in foot (M79.67-)
- pain in limb (M79.6-)
- pain in toes (M79.67-)
M25.5-
)
limb pain (
ICD-10-CM Diagnosis Code M79.6
Pain in limb, hand, foot, fingers and toes
Type 2 Excludes
- pain in joint (M25.5-)
M79.6-
)
lumbar region pain (
ICD-10-CM Diagnosis Code M54.5
Low back pain
Applicable To
- Loin pain
- Lumbago NOS
Type 1 Excludes
- low back strain (S39.012)
- lumbago due to intervertebral disc displacement (M51.2-)
- lumbago with sciatica (M54.4-)
M54.5
)
pelvic and perineal pain (
ICD-10-CM Diagnosis Code R10.2
Pelvic and perineal pain
Type 1 Excludes
- vulvodynia (N94.81)
R10.2
)
shoulder pain (
ICD-10-CM Diagnosis Code M25.51
Pain in shoulder
M25.51-
)
spine pain (
ICD-10-CM Diagnosis Code M54
- M54 Dorsalgia
  - M54.0 Panniculitis affecting regions of neck and ba...
    - M54.00 Panniculitis affecting regions of neck and ba...
    - M54.01 Panniculitis affecting regions of neck and ba...
    - M54.02 Panniculitis affecting regions of neck and ba...
    - M54.03 Panniculitis affecting regions of neck and ba...
    - M54.04 Panniculitis affecting regions of neck and ba...
    - M54.05 Panniculitis affecting regions of neck and ba...
    - M54.06 Panniculitis affecting regions of neck and ba...
    - M54.07 Panniculitis affecting regions of neck and ba...
    - M54.08 Panniculitis affecting regions of neck and ba...
    - M54.09 Panniculitis affecting regions, neck and back...
  - M54.1 Radiculopathy
    - M54.10 …… site unspecified
    - M54.11 …… occipito-atlanto-axial region
    - M54.12 …… cervical region
    - M54.13 …… cervicothoracic region
    - M54.14 …… thoracic region
    - M54.15 …… thoracolumbar region
    - M54.16 …… lumbar region
    - M54.17 …… lumbosacral region
    - M54.18 Radiculopathy, sacral and sacrococcygeal regi...
  - M54.2 Cervicalgia
  - M54.3 Sciatica
    - M54.30 …… unspecified side
    - M54.31 …… right side
    - M54.32 …… left side
  - M54.4 Lumbago with sciatica
    - M54.40 …… unspecified side
    - M54.41 …… right side
    - M54.42 …… left side
  - M54.5 Low back pain
  - M54.6 Pain in thoracic spine
  - M54.8 Other dorsalgia
    - M54.81 Occipital neuralgia
    - M54.89 Other dorsalgia
  - M54.9 Dorsalgia, unspecified
M54.-
)
throat pain (
ICD-10-CM Diagnosis Code R07.0
Pain in throat
Type 1 Excludes
- chronic sore throat (J31.2)
- sore throat (acute) NOS (J02.9)
Type 2 Excludes
- dysphagia (R13.1-)
- pain in neck (M54.2)
R07.0
)
tongue pain (
ICD-10-CM Diagnosis Code K14.6
Glossodynia
Applicable To
- Glossopyrosis
- Painful tongue
K14.6
)
tooth pain (
ICD-10-CM Diagnosis Code K08.8
Other specified disorders of teeth and supporting structures
K08.8
)
renal colic (
ICD-10-CM Diagnosis Code N23
Unspecified renal colic
N23
)
pain disorders exclusively related to psychological factors (
ICD-10-CM Diagnosis Code F45.41
Pain disorder exclusively related to psychological factors
Applicable To
- Somatoform pain disorder (persistent)
F45.41
)

The following code(s) above R52 contain annotation back-references

Annotation Back-References

In this context, annotation back-references refer to codes that contain:

Applicable To annotations, or
Code Also annotations, or
Code First annotations, or
Excludes1 annotations, or
Excludes2 annotations, or
Includes annotations, or
Note annotations, or
Use Additional annotations

that may be applicable to R52:

R00-R99
2019 ICD-10-CM Range R00-R99
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
Note
- This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
- Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
- The conditions and signs or symptoms included in categories R00-R94 consist of:
- (a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
- (b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
- (c) provisional diagnosis in a patient who failed to return for further investigation or care;
- (d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
- (e) cases in which a more precise diagnosis was not available for any other reason;
- (f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.
Type 2 Excludes
- abnormal findings on antenatal screening of mother (O28.-)
- certain conditions originating in the perinatal period (P04-P96)
- signs and symptoms classified in the body system chapters
- signs and symptoms of breast (N63, N64.5)
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified

Approximate Synonyms

Acute pain
Body aches
Buttock muscular pain
Chronic back pain for greater than 3 months
Chronic back pain greater than 3 months duration
Chronic coccygeal pain for greater than 3 months
Chronic low back pain
Chronic low back pain for greater than 3 months
Chronic low back pain greater than 3 months duration
Chronic malignant pain
Chronic neck pain
Chronic nonmalignant pain
Chronic pain
Chronic pain due to malignancy
Generalized aches and pains
Generalized pain
Neck pain, chronic
Pain
Pain crisis
Pain in buttock
Pain of coccyx greater than 3 months, chronic

Clinical Information

A disorder characterized by the sensation of marked discomfort, distress or agony.
An unpleasant sensation induced by noxious stimuli which are detected by nerve endings of nociceptive neurons.
Causing physical or psychological misery, pain or distress.
Intensely discomforting, distressful, or agonizing sensation associated with trauma or disease, with well-defined location, character, and timing.
Pain is a feeling triggered in the nervous system. Pain may be sharp or dull. It may come and go, or it may be constant. You may feel pain in one area of your body, such as your back, abdomen or chest or you may feel pain all over, such as when your muscles ache from the flu. Pain can be helpful in diagnosing a problem. Without pain, you might seriously hurt yourself without knowing it, or you might not realize you have a medical problem that needs treatment. Once you take care of the problem, pain usually goes away. However, sometimes pain goes on for weeks, months or even years. This is called chronic pain. Sometimes chronic pain is due to an ongoing cause, such as cancer or arthritis. Sometimes the cause is unknown. Fortunately, there are many ways to treat pain. Treatment varies depending on the cause of pain. pain relievers, acupuncture and sometimes surgery are helpful.
Pain that comes on quickly, can be severe, but lasts a relatively short time.
Physical suffering or distress, to hurt
Sensation of unpleasant feeling indicating potential or actual damage to some body structure felt all over, or throughout the body.
Severe pain of limited duration
The sensation of discomfort, distress, or agony, resulting from the stimulation of specialized nerve endings.
Unpleasant sensation induced by noxious stimuli and generally received by specialized nerve endings.
Unpleasant sensory and emotional experience arising from actual or potential tissue damage or described in terms of such damage (international association for the study of pain); sudden or slow onset of any intensity from mild to severe with an anticipated or predictable end and a duration of less than 6 months
Unpleasant sensory and emotional experience associated with actual or potential tissue damage.

ICD-10-CM R52 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):

947 Signs and symptoms with mcc
948 Signs and symptoms without mcc

Convert R52 to ICD-9-CM

Code History

2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
2017 (effective 10/1/2016): No change
2018 (effective 10/1/2017): No change
2019 (effective 10/1/2018): No change

Code annotations containing back-references to R52:

Type 1 Excludes: F45.4
, G89
, G89

ICD-10-CM Diagnosis Code F45.4
Pain disorders related to psychological factors
Type 1 Excludes
- pain NOS (R52)
ICD-10-CM Diagnosis Code G89
Pain, not elsewhere classified
Code Also
- related psychological factors associated with pain (F45.42)
Type 1 Excludes
- generalized pain NOS (R52)
- pain disorders exclusively related to psychological factors (F45.41)
- pain NOS (R52)
Type 2 Excludes
- atypical face pain (G50.1)
- headache syndromes (G44.-)
- localized pain, unspecified type - code to pain by site, such as:
- abdomen pain (R10.-)
- back pain (M54.9)
- breast pain (N64.4)
- chest pain (R07.1-R07.9)
- ear pain (H92.0-)
- eye pain (H57.1)
- headache (R51)
- joint pain (M25.5-)
- limb pain (M79.6-)
- lumbar region pain (M54.5)
- painful urination (R30.9)
- pelvic and perineal pain (R10.2)
- shoulder pain (M25.51-)
- spine pain (M54.-)
- throat pain (R07.0)
- tongue pain (K14.6)
- tooth pain (K08.8)
- renal colic (N23)
- migraines (G43.-)
- myalgia (M79.1-)
- pain from prosthetic devices, implants, and grafts (T82.84, T83.84, T84.84, T85.84-)
- phantom limb syndrome with pain (G54.6)
- vulvar vestibulitis (N94.810)
- vulvodynia (N94.81-)
ICD-10-CM Diagnosis Code G89
Pain, not elsewhere classified
Code Also
- related psychological factors associated with pain (F45.42)
Type 1 Excludes
- generalized pain NOS (R52)
- pain disorders exclusively related to psychological factors (F45.41)
- pain NOS (R52)
Type 2 Excludes
- atypical face pain (G50.1)
- headache syndromes (G44.-)
- localized pain, unspecified type - code to pain by site, such as:
- abdomen pain (R10.-)
- back pain (M54.9)
- breast pain (N64.4)
- chest pain (R07.1-R07.9)
- ear pain (H92.0-)
- eye pain (H57.1)
- headache (R51)
- joint pain (M25.5-)
- limb pain (M79.6-)
- lumbar region pain (M54.5)
- painful urination (R30.9)
- pelvic and perineal pain (R10.2)
- shoulder pain (M25.51-)
- spine pain (M54.-)
- throat pain (R07.0)
- tongue pain (K14.6)
- tooth pain (K08.8)
- renal colic (N23)
- migraines (G43.-)
- myalgia (M79.1-)
- pain from prosthetic devices, implants, and grafts (T82.84, T83.84, T84.84, T85.84-)
- phantom limb syndrome with pain (G54.6)
- vulvar vestibulitis (N94.810)
- vulvodynia (N94.81-)

Diagnosis Index entries containing back-references to R52:

Pain(s) R52 - see also Painful
- acute R52
- generalized NOS R52

ICD-10-CM Codes Adjacent To R52

R49.9 Unspecified voice and resonance disorder

R50 Fever of other and unknown origin

R50.2 Drug induced fever

R50.8 Other specified fever

R50.81 Fever presenting with conditions classified elsewhere

R50.82 Postprocedural fever

R50.83 Postvaccination fever

R50.84 Febrile nonhemolytic transfusion reaction

R50.9 Fever, unspecified

R51 Headache

R52 Pain, unspecified

R53 Malaise and fatigue

R53.0 Neoplastic (malignant) related fatigue

R53.1 Weakness

R53.2 Functional quadriplegia

R53.8 Other malaise and fatigue

R53.81 Other malaise

R53.82 Chronic fatigue, unspecified

R53.83 Other fatigue

R54 Age-related physical debility

R55 Syncope and collapse

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

2018/2019 ICD-10-CM Diagnosis Code R52

Pain, unspecified

Dorsalgia, unspecified

Mastodynia

Chest pain on breathing

Chest pain, unspecified

Otalgia

Ocular pain

Headache

Pain in joint

Pain in limb, hand, foot, fingers and toes

Low back pain

Pelvic and perineal pain

Pain in shoulder

Pain in throat

Glossodynia

Other specified disorders of teeth and supporting structures

Unspecified renal colic

Pain disorder exclusively related to psychological factors

Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified

Pain disorders related to psychological factors

Pain, not elsewhere classified

Pain, not elsewhere classified