In simple words: This code describes short-term pain from an injury like a cut, bruise, burn, broken bone, or pulled muscle.

Acute pain due to trauma occurs in sudden response to injury and lasts for less than three months. Symptoms depend on the type and severity of the trauma. Patients may experience mild, moderate, or severe burning, sharp, or aching pain. Diagnosis is based on a history of trauma, signs and symptoms, and physical examination. Imaging studies such as X-rays, CT scans, and MRI may be used to assess the severity of the injury. Treatment includes RICE (rest, ice, compression, and elevation) and over-the-counter NSAIDs or prescription opioids, depending on the severity of the pain.

Example 1: A patient presents to the emergency room after falling and fracturing their wrist. The patient is experiencing acute pain due to the trauma., A patient experiences a deep laceration to their leg during a car accident. The patient is experiencing acute pain at the site of the injury., A patient suffers first-degree burns on their hand from touching a hot stove. They report acute pain due to the burn.

Documentation should include the type, location, and cause of the pain. The severity and duration of the pain should also be noted, as well as any associated symptoms. Any diagnostic studies performed, such as imaging studies, should be documented. Treatment provided for the pain should also be included in the documentation.