Pain Medicine

Pain Medicine Revenue Cycle Management Services

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PracticeSuite is dedicated to serving the EMR needs of Pain Management practices by delivering Pain Management specific EMR software, intuitively developed in collaboration with Pain Management practices across the country.

ICD-10 Pain Medicine Superbill Example

Appointment Date & Time: Last Seen Date:
Patient: Gender: DOB: MR# Pat Due: INS Due:
Address: Reason:
Home Phone: Cell Phone: E-Mail:
Case Name: Case No: Case Type: Case Date:
Pr Insurance: Member ID: Co-Pay Amount: Deductible:
Rendering Provider: PCP: Referring Provider:
CPT CodeDescriptionCPT CodeDescriptionCPT CodeDescription
64616Chemodenervation of neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis)64644Chemalenervation of one extremity; 5 or more muscles64646Chemodenervation of trunk muscle(s); 1-5 muscle(s)
64617Chemodenervation of larynx, unilateral,
percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed
64645Chemodenervation of each additional extremity; 5 or more muscle(s)64647Chemodenervation of trunk muscles; 6 or more muscles
64642Chemodenervation of one extremity; 1-4 muscle(s)64643Chemodenervation of each additional extremity; 1-4 muscle(s)  
 BACK and PELVIS  NECK M54.08 Cervical Facet Syndrome
G96.12 Adhesions in the spinal membranes G52.2 Vagal neuralgia M54.2 Neck pain
G03.9 Arachnoiditis M62.40 – unspecified Muscle spasm sternocleidomastoid muscle G44.11 Suboccipital headache
G58.9 Adhesions spinal nerve M62.40 – unspecified Muscle spasm trapezius muscle M25.519 Shoulder pain
M43.8X9 Adhesions spinal nerve root NOS R06.6 Intractable hiccough M25.519 Supra clavicular pain
M54.12 Adhesions spinal nerve root cervical F45.8 Psychogenic hiccough M79.609 Upper extremity pain
M54.16 Adhesions spinal nerve root lumbar  G51.8 Geniculate ganglion neuralgia R51 Face pain
N23 Kidney pain G51.1 Geniculate ganglionitis G50.1 Atypical face pain
N23 Ureter pain  G51.0 Bell’s Palsy G51.8 Nerve pain
R30.0 Painful urination  B02.29 Herpes Zoster neuritis G54.6 Phantom limb pain
 R39.89 Female  B02.24 Herpes Zoster myelitis M54.12 Cervical Radiculopathy
 N50.9 Male  B02.21 Ramsay Hunt Syndrome (herpetic geniculate ganglionitis) M54.2 Cervicalgia
M50.30 Cervical  G51.8 Hemifacial spasm M47.812 Cervical Spondylosis w/o myelopathy
 M51.36 Lumbar  G90.09 Cervical sympathetic dystrophy NOS M47.12 Cervical Spondylosis w/ myelopathy
 M51.9 Site unspecified  R07.0 Throat pain M96.1 Cervical post laminectomy
 G35  Multiple Sclerosis  R07.0 Larynx pain G44.209 Tension type headaches
 R39.89 Female  T33.90XA (initial encounter) Frostbite of other and unspecified site G54.6 Phantom limb pain
M96.1 Cervical  I99.9 Acute vascular insufficiency (face and upper extremities)  M80.08XA – initial encounter Non-traumatic (pathological)
M96.1 Thoracic  G90.99 Reflex Sympathetic Dystrophy, (cervical sympathetic or paralysis)  G60.9 Peripheral neuropathy
M96.1 Lumbar  I73.00 Raynaud’s Syndrome  B02.29 Postherpetic neuralgia
M96.1 Unspecified  G44.11 Atypical vascular headache  S19.9XXA Unspecified Injury Neck
M80.08XA Non-traumatic (pathological) G50.1 Atypical face pain M53.82 Inflammation of cervical facet joints
N31.9 Bladder Dysfunction, NEC M47.812 Arthritis cervical (spondylosis)  ABDOMEN and ABDOMINAL WALL
 G60.9 Peripheral nerve entrapment THORAX and CHEST WALL  R10.11 Upper right quadrant
M54.16 – lumbar Lumbar radiculopathy  R07.89 Chest wall pain, musculoskeletal  R10.12 Upper left quadrant
 N80.9 Endometriosis, site unspecified  R10.9 Intra-abdominal pain, upper unspecified  R59.1 Pre-aortic adenopathy (Enlarged lymph nodes)
 G90.529 Reflex sympathetic dystrophy (chronic regional pain syndrome Type I), lower extremity  R10.11 Right upper quadrant  L90.5 Post-operative scarring (painful scar NEC)
 G58.9 Unspecified  R10.12 Left upper quadrant  R10.31 Lower right quadrant
 G57.70 Lower limb  M54.6 Thoracic spinal pain  R10.32 Lower left quadrant
 G56.40 Upper Limb  B02.9 Acute herpes zoster, unspecified  K85.9 Acute pancreatitis
 K59.4 Proctalgia fugax  M54.14 Thoracic radiculopathy  K86.1 Chronic pancreatitis
 K52.0 Radiation enterocolitis  M96.1 Thoracic post laminectomy syndrome  K55.1 Abdominal angina
 R39.89 Female  M80.08XA – initial encounter Non-traumatic (pathological) K55.0 Visceral arterial insufficiency, acute
 K62.89 Rectal pain  K85.9 Acute K55.1 Visceral arterial insufficiency, chronic
 B02.29 Herpes zoster, acute, unspecified  K86.1 Chronic  R10.31 Lower right quadrant
 B02.29 Postherpetic, neuralgia  G60.9 Peripheral neuropathy  R10.32 Lower left quadrant
 F45.42 Psychogenic  B02.23 Polyneuropathy  G57.90 Ilioinguinal neuralgia
 M79.2 Inflammation of purdendal nerve  G90.519 Reflex sympathetic dystrophy (upper extremity)  G57.90 Iliohypogastric neuralgia
 L29.3 Vulvar/vaginal itching  R10.9 Abdominal pain syndrome  M54.5 Low back pain
 F45.8 Psychogenic Puritus  M47.814 Arthritis of thoracic facet joints  R39.89 Pelvic Pain, female
S82.009A -initial Knee (patella closed)  M54.08 Thoracic facet syndrome  R39.89 Bladder Pain
 S82.0098B – initial Knee (patella open)  R07.89 Upper thorax pain  R30.0 Painful urination
 S82.109A-S82.90XC Lower leg (tibia-fibula)  R07.89 Phantom breast pain  R39.89 Genital Pain, female
 S82.53XA-S82.899C Ankle GENERAL PAIN CODES  N50.9 Genital Pain, male
 B02.9  Herpes Zoster, acute unspecified  G89.0 Central pain syndrome  G60.9 Peripheral nerve entrapment
 G54.1 Lumbar plexitis (lumbosacral plexus lesions)  G89.11 Acute pain due to trauma HEAD
 R68.89 Motor sensory impairment – mechanical and motor problems with neck and trunk  G89.12 Acute post-thoracotomy pain  M54.2 Neck pain
 R68.89 Motor sensory impairment – sensory problem with neck and trunk  G89.18 Other acute postoperative pain NOS – R51 Suboccipital headache pain
 M79.609 Lower extremity pain  G89.18 Other Acute Pain G43.109 – G43-919 Migraine headache, acute or chronic
 M25.579 Ankle  G89.21 Chronic pain due to trauma G44.009 Cluster headache
 M25.559 Hip  G89.22 Chronic post-thoracotomy pain G90.09 Sluder’s Syndrome
 M25.569 Knee  G89.28 Other chronic postoperative pain D69.2 Gardner’s Syndrome
 M25.559 Pelvic region  G89.28 Other chronic pain G44.209 Tension headache
 G57.10 Meralgia paresthetica  G89.3 Neoplasm related pain (acute or chronic)  G44.11 Vascular headache
 G60.9 Peripheral nerve entrapment  G89.4 Chronic pain syndrome  G50.1 Atypical facial pain
 G54.6 Phantom limb pain  M53.82 Occipital neuralgia
 G90.529 Reflex sympathetic dystrophy (RSD); Complex regional pain syndrome (CRPS Type I), lower limb BACK and PELVIS  G50.0 Trigeminal
 G57.70 Causalgia, lower limb  M25.559 Hip pain  B02.1 – B02.9 Herpes Zoster
 G57.90 Peripheral neuropathy, lower extremity NEC  M53.3 Coccyx pain (coccygodynia)  B02.22 Postherpetic trigeminal neuralgia
 I87.2 Venous insufficiency M79.609 Thigh pain (lower extremity)  G50.8 Supraorbital neuralgia (branch trigeminal nerve)
 I73.9 Vasospasm  R10.31 Lower abdominal pain, right  G50.8 Supratrochlear neuralgia (branch of trigeminal nerve)
 I73.9 Vaso-occlusive disease  R10.32 Lower abdominal pain, left  G50.8 Infra orbital neuralgia (branch of trigeminal nerve)
 T33.829A – initial Frostbite, foot  K62.89 Rectal pain  G50.8 Mental neuralgia (branch of trigeminal nerve)
I70.90 Arteriosclerosis  K62.89 Anal pain  S09.93XA Facial trauma (injury)
I70.209 Arteriosclerosis, extremities (native artery) NEC  N20.1 Ureteral calculi  G50.8 / G51.8 Intraoral neuralgia
 I70.399 Arteriosclerosis, extremities (bypass graft)  M54.16 Lumbar radiculopathy G50.0 Trigeminal neuralgia or Tic douloureux
 I70.499 Autologous vein M54.17 Lumbosacral radiculopathy G52.1 Glossopharyngeal neuralgia
 I70.599 Nonautologous biological M54.15 Thoracolumbar radiculopathy  M25.519 Shoulder pain
 I73.1 Buerger’s disease M54.14 Thoracic radiculopathy  M79.609 Upper extremity pain
 I77.6 Arteritis, unspecified  M54.5 Low back syndrome  B02.9 Acute herpes zoster, unspecified
 R10.31 Lower right M48.00 Spinal stenosis, unspecified  M54.12 Brachial plexus neuritis
 R10.32 Lower left  M48.06 Lumbar  G90.519 Reflex sympathetic dystrophy (RSD) / Complex regional pain syndrome (CRPS Type I), upper extremity
 B02.9 Herpes Zoster, acute, unspecified  M96.1 Post-laminectomy syndrome, lumbar  M75.00 Adhesive capsulitis, shoulder
 B02.29 Postherpetic, neuralgia, unspecified  G60.9 Peripheral neuropathy  G56.30 Radial tunnel syndrome
 R10.31 Lower right  N50.9 Orchalgia (neuralgia, scrotum)  G56.00 Median nerve entrapment syndrome
 R10.32 Lower left  K62.89 Proctalgia  G56.10 Median nerve neuritis
 M80.08XA – initial Pathological  G04.89 Transverse myelitis  G56.20 Ulnar nerve entrapment syndrome
 must know level Traumatic, closed  G96.12 Adhesions, epidural  G56.20 Cubital tunnel syndrome
 must know level Traumatic, open  G57.80 Obturator never  G56.00 Carpal tunnel syndrome
 M47.817 Arthritis, lumbar facet joints  M54.30 Neuritis, sciatic nerve  G56.20 Ulnar tunnel syndrome
 M54.08 Lumbar facet syndrome  G57.50 Tarsal tunnel syndrome  G56.40 Causalgia, upper limb
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