• Pain(s) R52
    - see also Painful
    ICD-10-CM Diagnosis Code R52

    Pain, unspecified

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Acute pain NOS
    • Generalized pain NOS
    • Pain NOS
    Type 1 Excludes
    • acute and chronic pain, not elsewhere classified (G89.-)
    • 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)
    • 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)
    • pain disorders exclusively related to psychological factors (F45.41)

    • abdominal R10.9
      ICD-10-CM Diagnosis Code R10.9

      Unspecified abdominal pain

        2016 2017 2018 2019 2020 Billable/Specific Code
      • colic R10.83
        ICD-10-CM Diagnosis Code R10.83

        Colic

          2016 2017 2018 2019 2020 Billable/Specific Code Pediatric Dx (0-17 years)
        Applicable To
        • Colic NOS
        • Infantile colic
        Type 1 Excludes
        • colic in adult and child over 12 months old (R10.84)
      • generalized R10.84
        ICD-10-CM Diagnosis Code R10.84

        Generalized abdominal pain

          2016 2017 2018 2019 2020 Billable/Specific Code
        Type 1 Excludes
        • generalized abdominal pain associated with acute abdomen (R10.0)
        • with acute abdomen R10.0
          ICD-10-CM Diagnosis Code R10.0

          Acute abdomen

            2016 2017 2018 2019 2020 Billable/Specific Code
          Applicable To
          • Severe abdominal pain (generalized) (with abdominal rigidity)
          Type 1 Excludes
      • lower R10.30
        ICD-10-CM Diagnosis Code R10.30

        Lower abdominal pain, unspecified

          2016 2017 2018 2019 2020 Billable/Specific Code
        • left quadrant R10.32
          ICD-10-CM Diagnosis Code R10.32

          Left lower quadrant pain

            2016 2017 2018 2019 2020 Billable/Specific Code
        • pelvic or perineal R10.2
          ICD-10-CM Diagnosis Code R10.2

          Pelvic and perineal pain

            2016 2017 2018 2019 2020 Billable/Specific Code
          Type 1 Excludes
        • periumbilical R10.33
          ICD-10-CM Diagnosis Code R10.33

          Periumbilical pain

            2016 2017 2018 2019 2020 Billable/Specific Code
        • right quadrant R10.31
          ICD-10-CM Diagnosis Code R10.31

          Right lower quadrant pain

            2016 2017 2018 2019 2020 Billable/Specific Code
      • rebound - see Tenderness, abdominal, rebound
      • severe with abdominal rigidity R10.0
        ICD-10-CM Diagnosis Code R10.0

        Acute abdomen

          2016 2017 2018 2019 2020 Billable/Specific Code
        Applicable To
        • Severe abdominal pain (generalized) (with abdominal rigidity)
        Type 1 Excludes
      • tenderness - see Tenderness, abdominal
      • upper R10.10
        ICD-10-CM Diagnosis Code R10.10

        Upper abdominal pain, unspecified

          2016 2017 2018 2019 2020 Billable/Specific Code
        • epigastric R10.13
          ICD-10-CM Diagnosis Code R10.13

          Epigastric pain

            2016 2017 2018 2019 2020 Billable/Specific Code
          Applicable To
          • Dyspepsia
          Type 1 Excludes
          • functional dyspepsia (K30)
        • left quadrant R10.12
          ICD-10-CM Diagnosis Code R10.12

          Left upper quadrant pain

            2016 2017 2018 2019 2020 Billable/Specific Code
        • right quadrant R10.11
          ICD-10-CM Diagnosis Code R10.11

          Right upper quadrant pain

            2016 2017 2018 2019 2020 Billable/Specific Code
    • acute R52
      ICD-10-CM Diagnosis Code R52

      Pain, unspecified

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Acute pain NOS
      • Generalized pain NOS
      • Pain NOS
      Type 1 Excludes
      • acute and chronic pain, not elsewhere classified (G89.-)
      • 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)
      • 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)
      • pain disorders exclusively related to psychological factors (F45.41)
      • due to trauma G89.11
        ICD-10-CM Diagnosis Code G89.11

        Acute pain due to trauma

          2016 2017 2018 2019 2020 Billable/Specific Code
      • neoplasm related G89.3
        ICD-10-CM Diagnosis Code G89.3

        Neoplasm related pain (acute) (chronic)

          2016 2017 2018 2019 2020 Billable/Specific Code
        Applicable To
        • Cancer associated pain
        • Pain due to malignancy (primary) (secondary)
        • Tumor associated pain
      • post-thoracotomy G89.12
        ICD-10-CM Diagnosis Code G89.12

        Acute post-thoracotomy pain

          2016 2017 2018 2019 2020 Billable/Specific Code
        Applicable To
        • Post-thoracotomy pain NOS
      • postprocedural NEC G89.18
        ICD-10-CM Diagnosis Code G89.18

        Other acute postprocedural pain

          2016 2017 2018 2019 2020 Billable/Specific Code
        Applicable To
        • Postoperative pain NOS
        • Postprocedural pain NOS
      • specified by site - code to Pain, by site
    • adnexa R10.2
      (uteri)
      ICD-10-CM Diagnosis Code R10.2

      Pelvic and perineal pain

        2016 2017 2018 2019 2020 Billable/Specific Code
      Type 1 Excludes
    • anginoid - see Pain, precordial
    • anus K62.89
      ICD-10-CM Diagnosis Code K62.89

      Other specified diseases of anus and rectum

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Proctitis NOS
      Use Additional
      • code for any associated fecal incontinence (R15.-)
    • arm - see Pain, limb, upper
    • axillary M79.62-
      (axilla)
      ICD-10-CM Diagnosis Code M79.62-

      Pain in upper arm

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
      Applicable To
      • Pain in axillary region
    • back M54.9
      (postural)
      ICD-10-CM Diagnosis Code M54.9

      Dorsalgia, unspecified

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Backache NOS
      • Back pain NOS
    • bladder R39.89
      ICD-10-CM Diagnosis Code R39.89

      Other symptoms and signs involving the genitourinary system

        2016 2017 2018 2019 2020 Billable/Specific Code
      • associated with micturition - see Micturition, painful
      • chronic R39.82
        ICD-10-CM Diagnosis Code R39.82

        Chronic bladder pain

          2017 - New Code 2018 2019 2020 Billable/Specific Code
    • bone - see Disorder, bone, specified type NEC
    • breast N64.4
      ICD-10-CM Diagnosis Code N64.4

      Mastodynia

        2016 2017 2018 2019 2020 Billable/Specific Code
    • broad ligament R10.2
      ICD-10-CM Diagnosis Code R10.2

      Pelvic and perineal pain

        2016 2017 2018 2019 2020 Billable/Specific Code
      Type 1 Excludes
    • cancer associated G89.3
      (acute) (chronic)
      ICD-10-CM Diagnosis Code G89.3

      Neoplasm related pain (acute) (chronic)

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Cancer associated pain
      • Pain due to malignancy (primary) (secondary)
      • Tumor associated pain
    • cecum - see Pain, abdominal
    • cervicobrachial M53.1
      ICD-10-CM Diagnosis Code M53.1

      Cervicobrachial syndrome

        2016 2017 2018 2019 2020 Billable/Specific Code
      Type 2 Excludes
      • cervical disc disorder (M50.-)
      • thoracic outlet syndrome (G54.0)
    • chest (central) R07.9
      ICD-10-CM Diagnosis Code R07.9

      Chest pain, unspecified

        2016 2017 2018 2019 2020 Billable/Specific Code
      • anterior wall R07.89
        ICD-10-CM Diagnosis Code R07.89

        Other chest pain

          2016 2017 2018 2019 2020 Billable/Specific Code
        Applicable To
        • Anterior chest-wall pain NOS
      • atypical R07.89
        ICD-10-CM Diagnosis Code R07.89

        Other chest pain

          2016 2017 2018 2019 2020 Billable/Specific Code
        Applicable To
        • Anterior chest-wall pain NOS
      • ischemic I20.9
        ICD-10-CM Diagnosis Code I20.9

        Angina pectoris, unspecified

          2016 2017 2018 2019 2020 Billable/Specific Code
        Applicable To
        • Angina NOS
        • Anginal syndrome
        • Cardiac angina
        • Ischemic chest pain
      • musculoskeletal R07.89
        ICD-10-CM Diagnosis Code R07.89

        Other chest pain

          2016 2017 2018 2019 2020 Billable/Specific Code
        Applicable To
        • Anterior chest-wall pain NOS
      • non-cardiac R07.89
        ICD-10-CM Diagnosis Code R07.89

        Other chest pain

          2016 2017 2018 2019 2020 Billable/Specific Code
        Applicable To
        • Anterior chest-wall pain NOS
      • on breathing R07.1
        ICD-10-CM Diagnosis Code R07.1

        Chest pain on breathing

          2016 2017 2018 2019 2020 Billable/Specific Code
        Applicable To
        • Painful respiration
      • pleurodynia R07.81
        ICD-10-CM Diagnosis Code R07.81

        Pleurodynia

          2016 2017 2018 2019 2020 Billable/Specific Code
        Applicable To
        • Pleurodynia NOS
        Type 1 Excludes
        • epidemic pleurodynia (B33.0)
      • precordial R07.2
        ICD-10-CM Diagnosis Code R07.2

        Precordial pain

          2016 2017 2018 2019 2020 Billable/Specific Code
      • wall R07.89
        (anterior)
        ICD-10-CM Diagnosis Code R07.89

        Other chest pain

          2016 2017 2018 2019 2020 Billable/Specific Code
        Applicable To
        • Anterior chest-wall pain NOS
    • chronic G89.29
      ICD-10-CM Diagnosis Code G89.29

      Other chronic pain

        2016 2017 2018 2019 2020 Billable/Specific Code
      • associated with significant psychosocial dysfunction G89.4
        ICD-10-CM Diagnosis Code G89.4

        Chronic pain syndrome

          2016 2017 2018 2019 2020 Billable/Specific Code
        Applicable To
        • Chronic pain associated with significant psychosocial dysfunction
      • due to trauma G89.21
        ICD-10-CM Diagnosis Code G89.21

        Chronic pain due to trauma

          2016 2017 2018 2019 2020 Billable/Specific Code
      • neoplasm related G89.3
        ICD-10-CM Diagnosis Code G89.3

        Neoplasm related pain (acute) (chronic)

          2016 2017 2018 2019 2020 Billable/Specific Code
        Applicable To
        • Cancer associated pain
        • Pain due to malignancy (primary) (secondary)
        • Tumor associated pain
      • post-thoracotomy G89.22
        ICD-10-CM Diagnosis Code G89.22

        Chronic post-thoracotomy pain

          2016 2017 2018 2019 2020 Billable/Specific Code
      • postoperative NEC G89.28
        ICD-10-CM Diagnosis Code G89.28

        Other chronic postprocedural pain

          2016 2017 2018 2019 2020 Billable/Specific Code
        Applicable To
        • Other chronic postoperative pain
      • postprocedural NEC G89.28
        ICD-10-CM Diagnosis Code G89.28

        Other chronic postprocedural pain

          2016 2017 2018 2019 2020 Billable/Specific Code
        Applicable To
        • Other chronic postoperative pain
      • specified NEC G89.29
        ICD-10-CM Diagnosis Code G89.29

        Other chronic pain

          2016 2017 2018 2019 2020 Billable/Specific Code
    • coccyx M53.3
      ICD-10-CM Diagnosis Code M53.3

      Sacrococcygeal disorders, not elsewhere classified

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Coccygodynia
    • colon - see Pain, abdominal
    • coronary - see Angina
    • costochondral R07.1
      ICD-10-CM Diagnosis Code R07.1

      Chest pain on breathing

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Painful respiration
    • diaphragm R07.1
      ICD-10-CM Diagnosis Code R07.1

      Chest pain on breathing

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Painful respiration
    • due to cancer G89.3
      ICD-10-CM Diagnosis Code G89.3

      Neoplasm related pain (acute) (chronic)

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Cancer associated pain
      • Pain due to malignancy (primary) (secondary)
      • Tumor associated pain
    • due to device, implant or graft T85.848
      - see also Complications, by site and type, specified NEC
      ICD-10-CM Diagnosis Code T85.848

      Pain due to other internal prosthetic devices, implants and grafts

        2017 - New Code 2018 2019 2020 Non-Billable/Non-Specific Code
      • arterial graft NEC T82.848
        ICD-10-CM Diagnosis Code T82.848

        Pain due to vascular prosthetic devices, implants and grafts

          2016 2017 - Revised Code 2018 2019 2020 Non-Billable/Non-Specific Code
      • breast T85.848
        (implant)
        ICD-10-CM Diagnosis Code T85.848

        Pain due to other internal prosthetic devices, implants and grafts

          2017 - New Code 2018 2019 2020 Non-Billable/Non-Specific Code
      • catheter NEC T85.848
        ICD-10-CM Diagnosis Code T85.848

        Pain due to other internal prosthetic devices, implants and grafts

          2017 - New Code 2018 2019 2020 Non-Billable/Non-Specific Code
        • dialysis (renal) T82.848
          ICD-10-CM Diagnosis Code T82.848

          Pain due to vascular prosthetic devices, implants and grafts

            2016 2017 - Revised Code 2018 2019 2020 Non-Billable/Non-Specific Code
          • intraperitoneal T85.848
            ICD-10-CM Diagnosis Code T85.848

            Pain due to other internal prosthetic devices, implants and grafts

              2017 - New Code 2018 2019 2020 Non-Billable/Non-Specific Code
        • infusion NEC T82.848
          ICD-10-CM Diagnosis Code T82.848

          Pain due to vascular prosthetic devices, implants and grafts

            2016 2017 - Revised Code 2018 2019 2020 Non-Billable/Non-Specific Code
          • spinal T85.840
            (epidural) (subdural)
            ICD-10-CM Diagnosis Code T85.840

            Pain due to nervous system prosthetic devices, implants and grafts

              2017 - New Code 2018 2019 2020 Non-Billable/Non-Specific Code
        • urinary T83.84
          (indwelling)
          ICD-10-CM Diagnosis Code T83.84

          Pain due to genitourinary prosthetic devices, implants and grafts

            2016 2017 - Revised Code 2018 2019 2020 Non-Billable/Non-Specific Code
      • electronic (electrode) (pulse generator) (stimulator)
        • bone T84.84
          ICD-10-CM Diagnosis Code T84.84

          Pain due to internal orthopedic prosthetic devices, implants and grafts

            2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
        • cardiac T82.847
          ICD-10-CM Diagnosis Code T82.847

          Pain due to cardiac prosthetic devices, implants and grafts

            2016 2017 - Revised Code 2018 2019 2020 Non-Billable/Non-Specific Code
        • nervous system T85.840
          (brain) (peripheral nerve) (spinal)
          ICD-10-CM Diagnosis Code T85.840

          Pain due to nervous system prosthetic devices, implants and grafts

            2017 - New Code 2018 2019 2020 Non-Billable/Non-Specific Code
        • urinary T83.84
          ICD-10-CM Diagnosis Code T83.84

          Pain due to genitourinary prosthetic devices, implants and grafts

            2016 2017 - Revised Code 2018 2019 2020 Non-Billable/Non-Specific Code
      • fixation, internal T84.84
        (orthopedic)
        ICD-10-CM Diagnosis Code T84.84

        Pain due to internal orthopedic prosthetic devices, implants and grafts

          2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
      • gastrointestinal T85.848
        (bile duct) (esophagus)
        ICD-10-CM Diagnosis Code T85.848

        Pain due to other internal prosthetic devices, implants and grafts

          2017 - New Code 2018 2019 2020 Non-Billable/Non-Specific Code
      • genital NEC T83.84
        ICD-10-CM Diagnosis Code T83.84

        Pain due to genitourinary prosthetic devices, implants and grafts

          2016 2017 - Revised Code 2018 2019 2020 Non-Billable/Non-Specific Code
      • heart NEC T82.847
        ICD-10-CM Diagnosis Code T82.847

        Pain due to cardiac prosthetic devices, implants and grafts

          2016 2017 - Revised Code 2018 2019 2020 Non-Billable/Non-Specific Code
      • infusion NEC T85.848
        ICD-10-CM Diagnosis Code T85.848

        Pain due to other internal prosthetic devices, implants and grafts

          2017 - New Code 2018 2019 2020 Non-Billable/Non-Specific Code
      • joint prosthesis T84.84
        ICD-10-CM Diagnosis Code T84.84

        Pain due to internal orthopedic prosthetic devices, implants and grafts

          2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
      • ocular T85.848
        (corneal graft) (orbital implant)
        ICD-10-CM Diagnosis Code T85.848

        Pain due to other internal prosthetic devices, implants and grafts

          2017 - New Code 2018 2019 2020 Non-Billable/Non-Specific Code
      • orthopedic NEC T84.84
        ICD-10-CM Diagnosis Code T84.84

        Pain due to internal orthopedic prosthetic devices, implants and grafts

          2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
      • specified NEC T85.848
        ICD-10-CM Diagnosis Code T85.848

        Pain due to other internal prosthetic devices, implants and grafts

          2017 - New Code 2018 2019 2020 Non-Billable/Non-Specific Code
      • urinary NEC T83.84
        ICD-10-CM Diagnosis Code T83.84

        Pain due to genitourinary prosthetic devices, implants and grafts

          2016 2017 - Revised Code 2018 2019 2020 Non-Billable/Non-Specific Code
      • vascular NEC T82.848
        ICD-10-CM Diagnosis Code T82.848

        Pain due to vascular prosthetic devices, implants and grafts

          2016 2017 - Revised Code 2018 2019 2020 Non-Billable/Non-Specific Code
      • ventricular intracranial shunt T85.840
        ICD-10-CM Diagnosis Code T85.840

        Pain due to nervous system prosthetic devices, implants and grafts

          2017 - New Code 2018 2019 2020 Non-Billable/Non-Specific Code
    • due to malignancy G89.3
      (primary) (secondary)
      ICD-10-CM Diagnosis Code G89.3

      Neoplasm related pain (acute) (chronic)

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Cancer associated pain
      • Pain due to malignancy (primary) (secondary)
      • Tumor associated pain
    • ear H92.0
      ICD-10-CM Diagnosis Code H92.0

      Otalgia

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • epigastric, epigastrium R10.13
      ICD-10-CM Diagnosis Code R10.13

      Epigastric pain

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Dyspepsia
      Type 1 Excludes
      • functional dyspepsia (K30)
    • eye - see Pain, ocular
    • face, facial R51
      ICD-10-CM Diagnosis Code R51

      Headache

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Facial pain NOS
      Type 1 Excludes
      • atypical face pain (G50.1)
      • migraine and other headache syndromes (G43-G44)
      • trigeminal neuralgia (G50.0)
      • atypical G50.1
        ICD-10-CM Diagnosis Code G50.1

        Atypical facial pain

          2016 2017 2018 2019 2020 Billable/Specific Code
    • female genital organs NEC N94.89
      ICD-10-CM Diagnosis Code N94.89

      Other specified conditions associated with female genital organs and menstrual cycle

        2016 2017 2018 2019 2020 Billable/Specific Code
    • finger - see Pain, limb, upper
    • flank - see Pain, abdominal
    • foot - see Pain, limb, lower
    • gallbladder K82.9
      ICD-10-CM Diagnosis Code K82.9

      Disease of gallbladder, unspecified

        2016 2017 2018 2019 2020 Billable/Specific Code
    • gas R14.1
      (intestinal)
      ICD-10-CM Diagnosis Code R14.1

      Gas pain

        2016 2017 2018 2019 2020 Billable/Specific Code
    • gastric - see Pain, abdominal
    • generalized NOS R52
      ICD-10-CM Diagnosis Code R52

      Pain, unspecified

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Acute pain NOS
      • Generalized pain NOS
      • Pain NOS
      Type 1 Excludes
      • acute and chronic pain, not elsewhere classified (G89.-)
      • 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)
      • 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)
      • pain disorders exclusively related to psychological factors (F45.41)
    • genital organ
      • female N94.89
        ICD-10-CM Diagnosis Code N94.89

        Other specified conditions associated with female genital organs and menstrual cycle

          2016 2017 2018 2019 2020 Billable/Specific Code
      • male N50.89
        ICD-10-CM Diagnosis Code N50.89

        Other specified disorders of the male genital organs

          2017 - New Code 2018 2019 2020 Billable/Specific Code Male Dx
        Applicable To
        • Atrophy of scrotum, seminal vesicle, spermatic cord, tunica vaginalis and vas deferens
        • Chylocele, tunica vaginalis (nonfilarial) NOS
        • Edema of scrotum, seminal vesicle, spermatic cord, tunica vaginalis and vas deferens
        • Hypertrophy of scrotum, seminal vesicle, spermatic cord, tunica vaginalis and vas deferens
        • Stricture of spermatic cord, tunica vaginalis, and vas deferens
        • Ulcer of scrotum, seminal vesicle, spermatic cord, testis, tunica vaginalis and vas deferens
        • Urethroscrotal fistula
    • groin - see Pain, abdominal, lower
    • hand - see Pain, limb, upper
    • head - see Headache
    • heart - see Pain, precordial
    • infra-orbital - see Neuralgia, trigeminal
    • intercostal R07.82
      ICD-10-CM Diagnosis Code R07.82

      Intercostal pain

        2016 2017 2018 2019 2020 Billable/Specific Code
    • intermenstrual N94.0
      ICD-10-CM Diagnosis Code N94.0

      Mittelschmerz

        2016 2017 2018 2019 2020 Billable/Specific Code
    • jaw R68.84
      ICD-10-CM Diagnosis Code R68.84

      Jaw pain

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Mandibular pain
      • Maxilla pain
      Type 1 Excludes
      • temporomandibular joint arthralgia (M26.62-)
    • joint M25.50
      ICD-10-CM Diagnosis Code M25.50

      Pain in unspecified joint

        2016 2017 2018 2019 2020 Billable/Specific Code
      • ankle M25.57-
        ICD-10-CM Diagnosis Code M25.57-

        Pain in ankle and joints of foot

          2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
      • elbow M25.52-
        ICD-10-CM Diagnosis Code M25.52-

        Pain in elbow

          2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
      • finger M25.54-
        ICD-10-CM Diagnosis Code M25.54-

        Pain in joints of hand

          2017 - New Code 2018 2019 2020 Non-Billable/Non-Specific Code
      • foot M25.57-
        ICD-10-CM Diagnosis Code M25.57-

        Pain in ankle and joints of foot

          2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
      • hand M25.54-
        ICD-10-CM Diagnosis Code M25.54-

        Pain in joints of hand

          2017 - New Code 2018 2019 2020 Non-Billable/Non-Specific Code
      • hip M25.55-
        ICD-10-CM Diagnosis Code M25.55-

        Pain in hip

          2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
      • knee M25.56-
        ICD-10-CM Diagnosis Code M25.56-

        Pain in knee

          2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
      • shoulder M25.51-
        ICD-10-CM Diagnosis Code M25.51-

        Pain in shoulder

          2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
      • toe M25.57-
        ICD-10-CM Diagnosis Code M25.57-

        Pain in ankle and joints of foot

          2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
      • wrist M25.53-
        ICD-10-CM Diagnosis Code M25.53-

        Pain in wrist

          2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • kidney N23
      ICD-10-CM Diagnosis Code N23

      Unspecified renal colic

        2016 2017 2018 2019 2020 Billable/Specific Code
    • laryngeal R07.0
      ICD-10-CM Diagnosis Code R07.0

      Pain in throat

        2016 2017 2018 2019 2020 Billable/Specific Code
      Type 1 Excludes
      • chronic sore throat (J31.2)
      • sore throat (acute) NOS (J02.9)
      Type 2 Excludes
    • leg - see Pain, limb, lower
    • limb M79.609
      ICD-10-CM Diagnosis Code M79.609

      Pain in unspecified limb

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Pain in limb NOS
      • lower M79.60-
        ICD-10-CM Diagnosis Code M79.60-

        Pain in limb, unspecified

          2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
        • foot M79.67-
          ICD-10-CM Diagnosis Code M79.67-

          Pain in foot and toes

            2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
        • lower leg M79.66-
          ICD-10-CM Diagnosis Code M79.66-

          Pain in lower leg

            2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
        • thigh M79.65-
          ICD-10-CM Diagnosis Code M79.65-

          Pain in thigh

            2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
        • toe M79.67-
          ICD-10-CM Diagnosis Code M79.67-

          Pain in foot and toes

            2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
      • upper M79.60-
        ICD-10-CM Diagnosis Code M79.60-

        Pain in limb, unspecified

          2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
        • axilla M79.62-
          ICD-10-CM Diagnosis Code M79.62-

          Pain in upper arm

            2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
          Applicable To
          • Pain in axillary region
        • finger M79.64-
          ICD-10-CM Diagnosis Code M79.64-

          Pain in hand and fingers

            2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
        • forearm M79.63-
          ICD-10-CM Diagnosis Code M79.63-

          Pain in forearm

            2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
        • hand M79.64-
          ICD-10-CM Diagnosis Code M79.64-

          Pain in hand and fingers

            2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
        • upper arm M79.62-
          ICD-10-CM Diagnosis Code M79.62-

          Pain in upper arm

            2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
          Applicable To
          • Pain in axillary region
    • loin M54.5
      ICD-10-CM Diagnosis Code M54.5

      Low back pain

        2016 2017 2018 2019 2020 Billable/Specific Code
      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-)
    • low back M54.5
      ICD-10-CM Diagnosis Code M54.5

      Low back pain

        2016 2017 2018 2019 2020 Billable/Specific Code
      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-)
    • lumbar region M54.5
      ICD-10-CM Diagnosis Code M54.5

      Low back pain

        2016 2017 2018 2019 2020 Billable/Specific Code
      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-)
    • mandibular R68.84
      ICD-10-CM Diagnosis Code R68.84

      Jaw pain

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Mandibular pain
      • Maxilla pain
      Type 1 Excludes
      • temporomandibular joint arthralgia (M26.62-)
    • mastoid H92.0
      ICD-10-CM Diagnosis Code H92.0

      Otalgia

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • maxilla R68.84
      ICD-10-CM Diagnosis Code R68.84

      Jaw pain

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Mandibular pain
      • Maxilla pain
      Type 1 Excludes
      • temporomandibular joint arthralgia (M26.62-)
    • menstrual N94.6
      - see also Dysmenorrhea
      ICD-10-CM Diagnosis Code N94.6

      Dysmenorrhea, unspecified

        2016 2017 2018 2019 2020 Billable/Specific Code
      Type 1 Excludes
      • psychogenic dysmenorrhea (F45.8)
    • metacarpophalangeal (joint) - see Pain, joint, hand
    • metatarsophalangeal (joint) - see Pain, joint, foot
    • mouth K13.79
      ICD-10-CM Diagnosis Code K13.79

      Other lesions of oral mucosa

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Focal oral mucinosis
    • muscle - see Myalgia
    • musculoskeletal M79.18
      - see also Pain, by site
      ICD-10-CM Diagnosis Code M79.18

      Myalgia, other site

        2019 - New Code 2020 Billable/Specific Code
    • myofascial M79.18
      ICD-10-CM Diagnosis Code M79.18

      Myalgia, other site

        2019 - New Code 2020 Billable/Specific Code
    • nasal J34.89
      ICD-10-CM Diagnosis Code J34.89

      Other specified disorders of nose and nasal sinuses

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Perforation of nasal septum NOS
      • Rhinolith
    • nasopharynx J39.2
      ICD-10-CM Diagnosis Code J39.2

      Other diseases of pharynx

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Cyst of pharynx
      • Edema of pharynx
      Type 2 Excludes
      • chronic pharyngitis (J31.2)
      • ulcerative pharyngitis (J02.9)
    • neck NEC M54.2
      ICD-10-CM Diagnosis Code M54.2

      Cervicalgia

        2016 2017 2018 2019 2020 Billable/Specific Code
      Type 1 Excludes
      • cervicalgia due to intervertebral cervical disc disorder (M50.-)
    • nerve NEC - see Neuralgia
    • neuromuscular - see Neuralgia
    • nose J34.89
      ICD-10-CM Diagnosis Code J34.89

      Other specified disorders of nose and nasal sinuses

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Perforation of nasal septum NOS
      • Rhinolith
    • ocular H57.1-
      ICD-10-CM Diagnosis Code H57.1-

      Ocular pain

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • ophthalmic - see Pain, ocular
    • orbital region - see Pain, ocular
    • ovary N94.89
      ICD-10-CM Diagnosis Code N94.89

      Other specified conditions associated with female genital organs and menstrual cycle

        2016 2017 2018 2019 2020 Billable/Specific Code
    • over heart - see Pain, precordial
    • ovulation N94.0
      ICD-10-CM Diagnosis Code N94.0

      Mittelschmerz

        2016 2017 2018 2019 2020 Billable/Specific Code
    • pelvic R10.2
      (female)
      ICD-10-CM Diagnosis Code R10.2

      Pelvic and perineal pain

        2016 2017 2018 2019 2020 Billable/Specific Code
      Type 1 Excludes
    • penis N48.89
      ICD-10-CM Diagnosis Code N48.89

      Other specified disorders of penis

        2016 2017 2018 2019 2020 Billable/Specific Code Male Dx
    • pericardial - see Pain, precordial
    • perineal, perineum R10.2
      ICD-10-CM Diagnosis Code R10.2

      Pelvic and perineal pain

        2016 2017 2018 2019 2020 Billable/Specific Code
      Type 1 Excludes
    • pharynx J39.2
      ICD-10-CM Diagnosis Code J39.2

      Other diseases of pharynx

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Cyst of pharynx
      • Edema of pharynx
      Type 2 Excludes
      • chronic pharyngitis (J31.2)
      • ulcerative pharyngitis (J02.9)
    • pleura, pleural, pleuritic R07.81
      ICD-10-CM Diagnosis Code R07.81

      Pleurodynia

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Pleurodynia NOS
      Type 1 Excludes
      • epidemic pleurodynia (B33.0)
    • post-thoracotomy G89.12
      ICD-10-CM Diagnosis Code G89.12

      Acute post-thoracotomy pain

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Post-thoracotomy pain NOS
    • postoperative NOS G89.18
      ICD-10-CM Diagnosis Code G89.18

      Other acute postprocedural pain

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Postoperative pain NOS
      • Postprocedural pain NOS
    • postprocedural NOS G89.18
      ICD-10-CM Diagnosis Code G89.18

      Other acute postprocedural pain

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Postoperative pain NOS
      • Postprocedural pain NOS
    • precordial R07.2
      (region)
      ICD-10-CM Diagnosis Code R07.2

      Precordial pain

        2016 2017 2018 2019 2020 Billable/Specific Code
    • premenstrual N94.3
      ICD-10-CM Diagnosis Code N94.3

      Premenstrual tension syndrome

        2016 2017 2018 2019 2020 Billable/Specific Code
      Code Also
      Type 1 Excludes
      • Premenstrual dysphoric disorder (F32.81)
    • psychogenic F45.41
      (persistent) (any site)
      ICD-10-CM Diagnosis Code F45.41

      Pain disorder exclusively related to psychological factors

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Somatoform pain disorder (persistent)
    • radicular (spinal) - see Radiculopathy
    • rectum K62.89
      ICD-10-CM Diagnosis Code K62.89

      Other specified diseases of anus and rectum

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Proctitis NOS
      Use Additional
      • code for any associated fecal incontinence (R15.-)
    • respiration R07.1
      ICD-10-CM Diagnosis Code R07.1

      Chest pain on breathing

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Painful respiration
    • retrosternal R07.2
      ICD-10-CM Diagnosis Code R07.2

      Precordial pain

        2016 2017 2018 2019 2020 Billable/Specific Code
    • rheumatoid, muscular - see Myalgia
    • rib R07.81
      ICD-10-CM Diagnosis Code R07.81

      Pleurodynia

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Pleurodynia NOS
      Type 1 Excludes
      • epidemic pleurodynia (B33.0)
    • root (spinal) - see Radiculopathy
    • round ligament R10.2
      (stretch)
      ICD-10-CM Diagnosis Code R10.2

      Pelvic and perineal pain

        2016 2017 2018 2019 2020 Billable/Specific Code
      Type 1 Excludes
    • sacroiliac M53.3
      ICD-10-CM Diagnosis Code M53.3

      Sacrococcygeal disorders, not elsewhere classified

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Coccygodynia
    • sciatic - see Sciatica
    • scrotum N50.82
      ICD-10-CM Diagnosis Code N50.82

      Scrotal pain

        2017 - New Code 2018 2019 2020 Billable/Specific Code Male Dx
    • seminal vesicle N50.89
      ICD-10-CM Diagnosis Code N50.89

      Other specified disorders of the male genital organs

        2017 - New Code 2018 2019 2020 Billable/Specific Code Male Dx
      Applicable To
      • Atrophy of scrotum, seminal vesicle, spermatic cord, tunica vaginalis and vas deferens
      • Chylocele, tunica vaginalis (nonfilarial) NOS
      • Edema of scrotum, seminal vesicle, spermatic cord, tunica vaginalis and vas deferens
      • Hypertrophy of scrotum, seminal vesicle, spermatic cord, tunica vaginalis and vas deferens
      • Stricture of spermatic cord, tunica vaginalis, and vas deferens
      • Ulcer of scrotum, seminal vesicle, spermatic cord, testis, tunica vaginalis and vas deferens
      • Urethroscrotal fistula
    • shoulder M25.51-
      ICD-10-CM Diagnosis Code M25.51-

      Pain in shoulder

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • spermatic cord N50.89
      ICD-10-CM Diagnosis Code N50.89

      Other specified disorders of the male genital organs

        2017 - New Code 2018 2019 2020 Billable/Specific Code Male Dx
      Applicable To
      • Atrophy of scrotum, seminal vesicle, spermatic cord, tunica vaginalis and vas deferens
      • Chylocele, tunica vaginalis (nonfilarial) NOS
      • Edema of scrotum, seminal vesicle, spermatic cord, tunica vaginalis and vas deferens
      • Hypertrophy of scrotum, seminal vesicle, spermatic cord, tunica vaginalis and vas deferens
      • Stricture of spermatic cord, tunica vaginalis, and vas deferens
      • Ulcer of scrotum, seminal vesicle, spermatic cord, testis, tunica vaginalis and vas deferens
      • Urethroscrotal fistula
    • spinal root - see Radiculopathy
    • spine M54.9
      ICD-10-CM Diagnosis Code M54.9

      Dorsalgia, unspecified

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Backache NOS
      • Back pain NOS
      • cervical M54.2
        ICD-10-CM Diagnosis Code M54.2

        Cervicalgia

          2016 2017 2018 2019 2020 Billable/Specific Code
        Type 1 Excludes
        • cervicalgia due to intervertebral cervical disc disorder (M50.-)
      • low back M54.5
        ICD-10-CM Diagnosis Code M54.5

        Low back pain

          2016 2017 2018 2019 2020 Billable/Specific Code
        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-)
        • with sciatica M54.4-
          ICD-10-CM Diagnosis Code M54.4-

          Lumbago with sciatica

            2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
          Type 1 Excludes
          • lumbago with sciatica due to intervertebral disc disorder (M51.1-)
      • thoracic M54.6
        ICD-10-CM Diagnosis Code M54.6

        Pain in thoracic spine

          2016 2017 2018 2019 2020 Billable/Specific Code
        Type 1 Excludes
        • pain in thoracic spine due to intervertebral disc disorder (M51.-)
    • stomach - see Pain, abdominal
    • substernal R07.2
      ICD-10-CM Diagnosis Code R07.2

      Precordial pain

        2016 2017 2018 2019 2020 Billable/Specific Code
    • temporomandibular M26.62-
      (joint)
      ICD-10-CM Diagnosis Code M26.62-

      Arthralgia of temporomandibular joint

        2016 2017 - Converted to Parent Code 2018 2019 2020 Non-Billable/Non-Specific Code
    • testis N50.81-
      ICD-10-CM Diagnosis Code N50.81-

      Testicular pain

        2017 - New Code 2018 2019 2020 Non-Billable/Non-Specific Code
    • thoracic spine M54.6
      ICD-10-CM Diagnosis Code M54.6

      Pain in thoracic spine

        2016 2017 2018 2019 2020 Billable/Specific Code
      Type 1 Excludes
      • pain in thoracic spine due to intervertebral disc disorder (M51.-)
      • with radicular and visceral pain M54.14
        ICD-10-CM Diagnosis Code M54.14

        Radiculopathy, thoracic region

          2016 2017 2018 2019 2020 Billable/Specific Code
    • throat R07.0
      ICD-10-CM Diagnosis Code R07.0

      Pain in throat

        2016 2017 2018 2019 2020 Billable/Specific Code
      Type 1 Excludes
      • chronic sore throat (J31.2)
      • sore throat (acute) NOS (J02.9)
      Type 2 Excludes
    • tibia - see Pain, limb, lower
    • toe - see Pain, limb, lower
    • tongue K14.6
      ICD-10-CM Diagnosis Code K14.6

      Glossodynia

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Glossopyrosis
      • Painful tongue
    • tooth K08.89
      ICD-10-CM Diagnosis Code K08.89

      Other specified disorders of teeth and supporting structures

        2017 - New Code 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Enlargement of alveolar ridge NOS
      • Insufficient anatomic crown height
      • Insufficient clinical crown length
      • Irregular alveolar process
      • Toothache NOS
    • trigeminal - see Neuralgia, trigeminal
    • tumor associated G89.3
      ICD-10-CM Diagnosis Code G89.3

      Neoplasm related pain (acute) (chronic)

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Cancer associated pain
      • Pain due to malignancy (primary) (secondary)
      • Tumor associated pain
    • ureter N23
      ICD-10-CM Diagnosis Code N23

      Unspecified renal colic

        2016 2017 2018 2019 2020 Billable/Specific Code
    • urinary N23
      (organ) (system)
      ICD-10-CM Diagnosis Code N23

      Unspecified renal colic

        2016 2017 2018 2019 2020 Billable/Specific Code
    • uterus NEC N94.89
      ICD-10-CM Diagnosis Code N94.89

      Other specified conditions associated with female genital organs and menstrual cycle

        2016 2017 2018 2019 2020 Billable/Specific Code
    • vagina R10.2
      ICD-10-CM Diagnosis Code R10.2

      Pelvic and perineal pain

        2016 2017 2018 2019 2020 Billable/Specific Code
      Type 1 Excludes
    • vertebrogenic M54.89
      (syndrome)
      ICD-10-CM Diagnosis Code M54.89

      Other dorsalgia

        2016 2017 2018 2019 2020 Billable/Specific Code
    • vesical R39.89
      ICD-10-CM Diagnosis Code R39.89

      Other symptoms and signs involving the genitourinary system

        2016 2017 2018 2019 2020 Billable/Specific Code
    • vulva R10.2
      ICD-10-CM Diagnosis Code R10.2

      Pelvic and perineal pain

        2016 2017 2018 2019 2020 Billable/Specific Code
      Type 1 Excludes