2025 ICD-10-CM code R68.84
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified - Other specified symptoms and signs Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99) Feed
Jaw pain, including mandibular and maxillary pain. Excludes temporomandibular joint arthralgia.
Modifiers are not applicable to ICD-10 codes.
Medical necessity for further investigation of jaw pain is established when the pain is severe, persistent, or associated with other symptoms suggesting a serious underlying condition.Pain that interferes with daily activities, such as eating and speaking, also warrants evaluation.
The clinical responsibility for evaluating and managing jaw pain depends on the suspected cause.It could involve dentists, oral surgeons, physicians (especially if there is a suspicion of systemic disease), or other specialists as needed.
- Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
- General symptoms and signs (R50-R69)
In simple words: This code means jaw pain.It's used when doctors can't figure out exactly what's causing the pain, even after tests.This could be because the pain goes away quickly, or because more tests are needed.
R68.84 in the ICD-10-CM classification system designates jaw pain, encompassing pain in the mandible (lower jaw) and maxilla (upper jaw).This code is utilized when the jaw pain cannot be definitively attributed to a more specific diagnosis, even after thorough investigation.It includes cases where the pain is transient and the etiology remains undetermined, provisional diagnoses in patients who did not return for follow-up, referrals to other specialists prior to diagnosis, or situations where a more precise diagnosis is unavailable for other reasons.This code specifically excludes temporomandibular joint arthralgia (M26.62-).
Example 1: A patient presents with acute jaw pain after a fall, with no clear fracture evident on X-ray. R68.84 is used pending further investigation., A patient reports intermittent jaw pain of unknown origin.After a thorough dental exam and imaging studies, no specific dental cause is found.R68.84 is applied., A patient experiences jaw pain that resolves before a definitive diagnosis can be established. R68.84 can be used to document the symptom.
Detailed history of the jaw pain, including onset, duration, character, location, aggravating and relieving factors.Results of relevant examinations, such as a physical exam, dental exam, imaging studies (X-rays, CT scans), and other diagnostic tests.
** This code should be used cautiously and only when a more specific diagnosis cannot be established after appropriate investigation.Always ensure complete and accurate documentation to support the use of this code.
- Revenue Code: Revenue codes will vary depending on the healthcare setting and services provided. Consult your local revenue code guidelines.
- RVU: RVUs are not directly associated with ICD-10 codes.Reimbursement depends on the services rendered, which would be coded using CPT or HCPCS codes, and the payer's fee schedule.
- Global Days: Not applicable to ICD-10 codes.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.
- Fee Schedule: Not applicable to ICD-10 codes.
- Specialties:Dentistry, Oral and Maxillofacial Surgery, Rheumatology, Internal Medicine
- Place of Service:Office, Emergency Room - Hospital, Urgent Care Facility, Hospital Inpatient, other