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R52

Billable

Pain, unspecified

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Pain that is not specified to a particular location or cause. This is used when the type or source of pain is not documented or identified.

Coding Tips

  • •Use this code only when the pain location or type cannot be determined from documentation
  • •If pain is localized to a specific body part or has an identified cause, use a more specific pain code instead

Excludes 1 — Do NOT code together

  • 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 (R51.9)
  • 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)

Code Hierarchy

└R52Pain, unspecified
└R52Pain, unspecified

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