In simple words: This code is used when someone has sudden, short-term pain that doesn't have another specific code.

This code represents acute pain that is not classified elsewhere in the ICD-10-CM. It is used when the pain is of sudden onset and limited duration, typically less than six months.It is important to note that this code should not be used if a more specific code for the pain exists.

Example 1: A patient presents with acute lower back pain after lifting a heavy object.If the diagnosis is lumbar strain, a more specific code should be used (e.g., S39.012A). If the specific diagnosis is not yet confirmed and the encounter is for pain management, G89.1 may be used., A patient experiences acute abdominal pain of unknown etiology. While investigations are underway to determine the cause, and the encounter is for pain management, G89.1 may be used. If appendicitis is diagnosed, then the code for appendicitis should be used (K35.80)., A patient reports acute pain in their right shoulder after a fall. If a rotator cuff tear is diagnosed, use a specific code for the tear (e.g. S46.011A).If the diagnosis is unclear and the encounter focuses on pain management, G89.1 could be used until a definitive diagnosis is made.

Documentation should clearly specify the location, characteristics (e.g., sharp, dull, burning), onset, duration, and severity of the pain. Any associated symptoms (e.g., nausea, numbness, weakness) should also be documented. The cause of the pain, if known, should be clearly stated, as this may affect code selection.

** G89.1 is a non-billable code. When reporting this code, it is important to check for the latest version of the guidelines by December 2nd, 2024, which may affect its usage.The information provided here is current as of this date and is subject to change.