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Pain Medicine

ICD-9 to ICD-10 Crosswalk

The codes in these crosswalks were selected based on the most commonly used ICD-9 codes according to historical MedStar Health coding data and from professional coding associations, and are ordered by frequency of use. 

Not all the codes you need are contained in this list. For a comprehensive list of ICD-10 codes, use Diagnosis Assistant or the IMO Anywhere tool.

Code Description (ICD-9 codes are in blue)
722.52 Degeneration of lumbar or lumbosacral intervertebral disc
M51.36 Other intervertebral disc degeneration, lumbar region
M51.37 Other intervertebral disc degeneration, lumbosacral region
724.4 Thoracic/lumbosacral neuritis or radiculitis, unspecified
M54.14 Radiculopathy, thoracic region
M54.15 Radiculopathy, thoracolumbar region
M54.16
Radiculopathy, lumbar region
M54.17
Radiculopathy, lumbosacral region
M51.14
Intervertebral disc disorders with radiculopathy, thoracic region
M51.15
Intervertebral disc disorders with radiculopathy, thoracolumbar region
M51.16
Intervertebral disc disorders with radiculopathy, lumbar region
M51.17
Intervertebral disc disorders with radiculopathy, lumbosacral region
729.1 Myalgia and myositis, unspecified

Multiple available diagnosis options under ICD-10. Documentation should note myalgia or fibromyalgia when known. With myositis, indicate the effected joint and laterality. Below are examples of available diagnoses:
M79.1 Myalgia
M79.7
Fibromyalgia
M60.831
Other myositis, right forearm
M60.832
Other myositis, left forearm
M60.841 Other myositis, right hand
M60.842 Other myositis, left hand
M60.871 Other myositis, right ankle and foot
M60.872 Other myositis, left ankle and foot
729.2 Neuralgia, neuritis, and radiculitis, unspecified

Notation should include if radiculopathy site is:
M54.10
unspecified
M54.18
sacral and sacrococcygeal region
M79.2
Neuralgia and neuritis of unspecified site
724.8 Other symptoms referable to back
M54.08 Panniculitis affecting regions of neck and back, sacral and sacrococcygeal region
M54.03 Panniculitis affecting regions of neck and back, cervicothoracic region
M54.04
Panniculitis affecting regions of neck and back, thoracic region
M54.05
Panniculitis affecting regions of neck and back, thoracolumbar region
M54.06
Panniculitis affecting regions of neck and back, lumbar region
M54.07
Panniculitis affecting regions of neck and back, lumbosacral region
M54.09
Panniculitis affecting regions, neck and back, multiple sites in spine
M62.830 Muscle spasm of back
724.2 Lumbago
M54.5 Low back pain
720.2 Sacroiliitis not elsewhere classified
M46.1 Sacroiliitis not elsewhere classified
722.4 Degeneration of cervical intervertebral disc
M50.31 Other cervical disc degeneration, high cervical region
M50.32 Other cervical disc degeneration, mid-cervical region
M50.33
Other cervical disc degeneration, cervicothoracic region
M50.30
Other cervical disc degeneration, unspecified cervical region
719.46 Pain in joint involving lower leg
M25.569 Pain in unspecified knee
M25.561 Pain in right knee
M25.562
Pain in left knee
723.4 Brachial neuritis or radiculitis NOS

Important to document if radiculopathy is in:
M54.12 cervical
M54.13
cervicothoracic
M54.11
occipito-atlanto-axial region
401.9 Unspecified essential hypertension

Specific types of hypertension should be noted. ICD-10 options include:
I15.1 Hypertension secondary to other renal disorders
I15.2
Hypertension secondary to endocrine disorders
I15.0 Reno vascular hypertension
O10 Pre-existing hypertension complicating pregnancy, childbirth and the puerperium
O11
Pre-existing hypertension with pre-eclampsia
I10
Essential (primary) hypertension
I15.9 Secondary hypertension, unspecified
I97.3 Postprocedural hypertension
K76.6 Portal hypertension
715.96 Osteoarthrosis unspecified whether generalized or localized involving lower leg
M17.5 Other unilateral secondary osteoarthritis of knee
M17.4 Other bilateral secondary osteoarthritis of knee
M17.32
Unilateral post-traumatic osteoarthritis, left knee
M17.31
Unilateral post-traumatic osteoarthritis, right knee
M17.30
Unilateral post-traumatic osteoarthritis, unspecified knee
M17.9
Osteoarthritis of knee, unspecified
721.3 Lumbosacral spondylosis without myelopathy
M47.26 Other spondylosis with radiculopathy, lumbar region
M47.27 Other spondylosis with radiculopathy, lumbosacral region
M47.28
Other spondylosis with radiculopathy, sacral and sacrococcygeal region
M47.816
Spondylosis without myelopathy or radiculopathy, lumbar region
M47.818
Spondylosis without myelopathy or radiculopathy, sacral and sacrococcygeal region
M47.896
Other spondylosis, lumbar region
M47.897
Other spondylosis, lumbosacral region
M47.898
Other spondylosis, sacral and sacrococcygeal region
M47.817
Spondylosis without myelopathy or radiculopathy, lumbosacral region
715.90 Osteoarthrosis unspecified whether generalized or localized involving unspecified site
M15.9 Polyosteoarthritis, unspecified
M19.90 Unspecified osteoarthritis, unspecified site
719.45 Pain in joint involving pelvic region and thigh
M25.551 Pain in right hip
M25.552 Pain in left hip
M25.559
Pain in unspecified hip
338.18 Other acute postoperative pain
G89.18 Other acute post procedural pain
G89.11 Acute pain due to trauma
G89.12
Acute post-thoracotomy pain
G89.1
Acute pain, not elsewhere classified
356.9 Unspecified idiopathic peripheral neuropathy

Notation should include specificity to document the type of idiopathic neuropathy if possible. Note if peripheral or progressive.
G60.3 Idiopathic progressive neuropathy
G60.9
Hereditary and idiopathic neuropathy, unspecified
521.00 Unspecified dental caries
K02.9 Unspecified dental caries
723.1 Cervicalgia
M54.2 Cervicalgia
724.1 Pain in thoracic spine
M54.6 Pain in thoracic spine
553.3 Diaphragmatic hernia without obstruction or gangrene
K44.9 Diaphragmatic hernia without obstruction or gangrene
789.00 Abdominal pain, unspecified site
R10.11 Right upper quadrant pain
R10.12 Left upper quadrant pain
R10.31
Right lower quadrant pain
R10.32
Left lower quadrant pain
R10.33
Periumbilical pain
R10.13
Epigastric pain
R10.84
Generalized abdominal pain
R10.10
Upper abdominal pain, unspecified
R10.2
Pelvic and perineal pain
R10.30
Lower abdominal pain, unspecified
R10.9
Unspecified abdominal pain
R10.0
Acute abdomen
724.5 Backache, unspecified

Must detail if other (M54.89) or unspecified (M54.9) dorsalgia. If detail of region and other disorders are available then they must be noted.
F45.42 Pain disorder with related psychological factors
M43.27 Fusion of spine, lumbosacral region
M43.28
Fusion of spine, sacral and sacrococcygeal region
M53.2X7
Spinal instabilities, lumbosacral region
M43.87
Other specified dorsopathies, lumbosacral region
M43.88
Other specified dorsopathies, sacral and sacrococcygeal region
V27.0 Mother with single liveborn
Z37.0 Single live birth
715.91 Osteoarthrosis unspecified whether generalized or localized involving shoulder region
M19.211 Secondary osteoarthritis, right shoulder
M19.212
Secondary osteoarthritis, left shoulder
M19.219
Secondary osteoarthritis, unspecified shoulder
535.50 Unspecified gastritis and gastroduodenitis, without mention of hemorrhage

It is important to note if bleeding is present with gastritis or gastroduodenitis. It is also important to document either gastritis or gastroduodenitis.
K29.70 Gastritis, unspecified, without bleeding
K29.90
Gastroduodenitis, unspecified, without bleeding
414.00 Coronary atherosclerosis of unspecified type of vessel native or graft
I25.10 Atherosclerotic heart disease of native coronary artery without angina pectoris
785.4 Gangrene

Note presence of diabetes if applicable. Multiple codes, (not listed), are available if gangrene due to atherosclerosis of bypass graft.
E08.52 Diabetes mellitus due to underlying condition with diabetic peripheral angiopathy with gangrene
E09.52
Drug or chemical induced diabetes mellitus with diabetic peripheral angiopathy with gangrene
E10.52
Type 1 diabetes mellitus with diabetic peripheral angiopathy with gangrene
E11.52
Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene
E13.52
Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene
784.0 Headache
G44.1 Vascular headache
R51 Headache
722.83 Post laminectomy syndrome of lumbar region
M96.1 Post laminectomy syndrome of lumbar region
722.51 Degeneration of thoracic or thoracolumbar intervertebral disc
M51.34 Other intervertebral disc degeneration, thoracic region
M51.35 Other intervertebral disc degeneration, thoracolumbar region
723.0 Spinal stenosis in cervical region
M48.02 Spinal stenosis, cervical region
M48.01 Spinal stenosis, occipito-atlanto-axial region
M48.03 Spinal stenosis, cervicothoracic region
729.5 Pain in limb

Document site of pain and note laterality when possible. Sites can be specific to hands, fingers, and regions of the leg. A sample of these codes is provided below.
M79.632 Pain in left forearm
M79.639
Pain in unspecified forearm
M79.641
Pain in right hand
M79.642
Pain in left hand
M79.643
Pain in unspecified hand
M79.644
Pain in right finger(s)
M79.645
Pain in left finger(s)
M79.646
Pain in unspecified finger(s)
M79.651
Pain in right thigh
M79.652
Pain in left thigh
443.9 Peripheral vascular disease unspecified
I73.9 Peripheral vascular disease, unspecified
724.02 Spinal stenosis, lumbar region, without neurogenic claudication
M48.07 Spinal stenosis, lumbosacral region
M99.23 Subluxation stenosis of neural canal of lumbar region
M99.33
Osseous stenosis of neural canal of lumbar region
M99.43
Connective tissue stenosis of neural canal of lumbar region
M99.53
Intervertebral disc stenosis of neural canal of lumbar region
M99.63
Osseous and subluxation stenosis of intervertebral foramina of lumbar region
M99.73
Connective tissue and disc stenosis of intervertebral foramina of lumbar region
M48.06 Spinal stenosis, lumbar region
493.90 Asthma, unspecified type

Should document whether exacerbation or status asthmaticus. As well as severity Mild, Moderate, or Severe uncomplicated asthma.
J45.901 Unspecified asthma with (acute) exacerbation
J45.902
Unspecified asthma with status asthmaticus
J45.909
Unspecified asthma, uncomplicated
J45.998
Other asthma
285.9 Anemia unspecified

Document cause of anemia, (i.e. whether it is aplastic, related to chronic disease, post hemorrhagic, nutritional/iron deficiency, or acquired hemolytic). Diagnosis choices under ICD-10 include:
D64.81 Anemia due to antineoplastic chemotherapy
D63.0
Anemia in neoplastic disease
D64.0
Hereditary sideroblastic anemia
D64.2
Secondary sideroblastic anemia due to drugs and toxins
D61.810
Antineoplastic chemotherapy induced pancytopenia
D61.1
Drug-induced aplastic anemia
D61.3 Idiopathic aplastic anemia
D63.1 Anemia in chronic kidney disease
D62 Acute posthemorrhagic anemia
D50.9 Iron deficiency anemia, unspecified
D55.3 Anemia due to disorders of nucleotide metabolism
174.9 Malignant neoplasm of breast (female) unspecified site
C50.911 Malignant neoplasm of unspecified site of right female breast
C50.912 Malignant neoplasm of unspecified site of left female breast
C50.919
Malignant neoplasm of unspecified site of unspecified female breast
346.90 Migraine, unspecified, without mention of intractable migraine without mention of status migrainous

Important to note if intractable or with or without status migrainous. ICD-10 options include:
G43.909 Migraine, unspecified, not intractable, without status migrainosus
G43.919 Migraine, unspecified, intractable, without status migrainosus
G43.901
Migraine, unspecified, not intractable, with status migrainosus