Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 39 CI

From the Desk of Dr. Mark Studin
Academy of Chiropractic
Preamble: Many of the issues I bring to you are very small, yet each issue is just that, an issue. If you take care of the small issues, then you will be able to build and more importantly, focus on the bigger issues...a larger practice and more family time.


This is a very good ICD code to consider for the trauma patient who has acute pain. In Florida, this is one of the trigger diagnose to meet the criteria for more always, if you meet the highest standard nationally, you will be prepared when it is applicable in your state. Don't be surprised if the carriers are already considering this as part of their payment algorithm even in the absence of legislation.




2013 ICD-9-CM Diagnosis Code 338.1

Acute pain

  • Physical suffering or distress; to hurt.
  • Pain that comes on quickly, can be severe, but lasts a relatively short time.
  • Unpleasant sensory and emotional experience arising from actual or potential tissue damage or described in terms of such damage (International Association for the Study of Pain); sudden or slow onset of any intensity from mild to severe with an anticipated or predictable end and a duration of less than 6 months
  • There are 4 ICD-9-CM codes below 338.1 that define this diagnosis in greater detail. Do not use this code on a reimbursement claim. You need a 5th digit...

Pain, not elsewhere classified 338- >

  • 338 Pain, not elsewhere classified
  • 338.0 Central pain syndrome
  • 338.1 Acute pain
  • 338.11 ... due to trauma
  • 338.12 Acute post-thoracotomy pain
  • 338.18 Other acute postoperative pain
  • 338.19 Other acute pain
  • 338.2 Chronic pain
  • 338.21 ... due to trauma
  • 338.22 Chronic post-thoracotomy pain
  • 338.28 Other chronic postoperative pain
  • 338.29 Other chronic pain
  • 338.3 Neoplasm related pain (acute) (chronic)
  • 338.4 Chronic pain syndrome


When ICD-10 comes out, we will be doing the conversions and making them available to you.

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