R52

Billable
ChapterR00–R99
Rankcategory
Official Description

Pain, unspecified

Metadata & Insights
  • Billable/specific code (valid for reimbursement).
  • Chapter 18: Symptoms, Signs and Abnormal Clinical and Laboratory Findings (R00-R99).

CH18 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)
  • abnormal findings on antenatal screening of mother (O28.-)
  • certain conditions originating in the perinatal period (P04-P96)
  • signs and symptoms classified in the body system chapters
  • signs and symptoms of breast (N63, N64.5)

Instructional Notes

Includes
  • Acute pain NOS
  • Generalized pain NOS
  • Pain NOS
Excludes1(Not coded here. Use a different code.)
  • acute and chronic pain, not elsewhere classified (G89.-)
  • localized pain, unspecified type - code to pain by site, such as:
  • abdomen pain (R10.-)
  • back pain (M54.9)
  • breast pain (N64.4)
  • chest pain (R07.1-R07.9)
  • ear pain (H92.0-)
  • eye pain (H57.1)
  • headache (R51.9)
  • joint pain (M25.5-)
  • limb pain (M79.6-)
  • lumbar region pain (M54.5-)
  • pelvic and perineal pain (R10.2-)
  • shoulder pain (M25.51-)
  • spine pain (M54.-)
  • throat pain (R07.0)
  • tongue pain (K14.6)
  • tooth pain (K08.8)
  • renal colic (N23)
  • pain disorders exclusively related to psychological factors (F45.41)

Clinical Hierarchy

BillableHas subcodes
CH18Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
R50-R69General symptoms and signs (R50-R69)
R52Pain, unspecifiedBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to R52:

chapterCH18
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
View context instructions

MS-DRG Classification

2026 v43.1

This code is grouped within the following Diagnosis Related Group(s) for clinical reimbursement:

Cross Reference

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