ICD-9-CM Official Guidelines for Coding and Reporting - Office of ...

• If the encounter is for any other reason
except pain control or pain management,
and a related definitive diagnosis has not
been established (confirmed) by the
provider, assign the code for the specific
site of pain first, followed by the
appropriate code from category 338.
2) Pain due to devices, implants and grafts
Pain associated with devices, implants or grafts left in a
surgical site (for example painful hip prosthesis) is
assigned to the appropriate code(s) found in Chapter 17,
Injury and Poisoning. Use additional code(s) from
category 338 to identify acute or chronic pain due to
presence of the device, implant or graft (338.18-338.19
or 338.28-338.29).
3) Postoperative Pain
Post-thoracotomy pain and other postoperative pain are
classified to subcategories 338.1 and 338.2, depending
on whether the pain is acute or chronic. The default for
post-thoracotomy and other postoperative pain not
specified as acute or chronic is the code for the acute
form.
Routine or expected postoperative pain immediately
after surgery should not be coded.
(a)
Postoperative pain not associated with specific
postoperative complication
Postoperative pain not associated with a specific
postoperative complication is assigned to the
appropriate postoperative pain code in category 338.
(b)
Postoperative pain associated with specific
postoperative complication
Postoperative pain associated with a specific
postoperative complication (such as painful wire
sutures) is assigned to the appropriate code(s) found in
Chapter 17, Injury and Poisoning. If appropriate, use
additional code(s) from category 338 to identify acute
or chronic pain (338.18 or 338.28). If pain
control/management is the reason for the encounter, a
code from category 338 should be assigned as the
ICD-9-CM Official Guidelines for Coding and Reporting
Effective October 1, 2008
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