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2025 ICD-10-CM code G89.11

Acute pain due to trauma. This code refers to pain lasting less than three months that occurs as a sudden response to injury.

This code should not be used for chronic pain or pain that is not directly caused by trauma.Do not code pain as symptom. Code acute pain due to trauma first, followed by the code that identifies the location of the injury.

Medical necessity for the use of this code must be supported by documentation of the cause of the acute pain and its relationship to the trauma. The documentation should also support the need for any treatment provided for the pain.

Providers diagnose the condition based on a history of trauma, signs and symptoms, and physical examination. Treatment for acute pain due to trauma includes RICE (rest, ice, compression, and elevation) and OTC NSAIDs or prescription opioids, depending on the severity of the pain.

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.

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