ICD-9 Codes for Physical Medicine and Pain Management

Disclaimer:  The information here is NOT meant to replace the sound advice of a billing and coding expert.

Below is a list of the most common ICD-9 codes (diagnosis codes) used in a physical medicine & rehabilitation (PM&R) and Spine pain management clinic.   

For ICD-10 CODES, please go to this separate page

The most common codes I use are highlighted in blue.

Feel free to leave comments in the section below.

Head / Face

• Headache/Head pain/Suboccipital headache:  784.0
• Tension headache:  307.81
• Spinal headache:  349.0
• Cluster headache:  346.2
• Occipital neuralgia/headache:  723.8
• Trigeminal neuralgia:  350.1
• Atypical facial pain:  350.2
• Temporomandibular joint dysfunction:  524.60

Neck (Cervical Spine)

• Cervicalgia (neck pain):  723.1
• Cervical spondylosis w/o myelopathy:  721.0
• Cervical spondylosis with myelopathy:  721.1
• Cervical herniated disc w/o myelopathy:  722.0
• Cervical herniated disc with myelopathy:  722.71
• Cervical degenerative disc disease (C-DDD):  722.4
• Cervical spinal stenosis:  723.0
• Cervical radiculopathy (radiculitis):  723.4
• Cervical failed back surgery syndrome (FBSS) or postlaminectomy syndrome:  722.81
• Torticollis / Cervical dystonia:  723.5
• Cervical Sprain/Strain (Neck sprain):  847.0

Back (Thoracic, Lumbar, Sacral Spine)

• Thoracic back pain:  724.1
• Thoracic sprain:  847.1
• Thoracic spondylosis w/o myelopathy:  721.2
• Thoracic spondylosis with myelopathy:  721.41
• Thoracic spinal stenosis:  724.01
• Thoracic herniated disc:  722.11
• Thoracic herniated disc with myelopathy:  722.72
• Thoracic degenerated disc disease (T-DDD): 722.51
• Thoracic radiculopathy: 724.4
• Scoliosis (and kyphoscoliosis) – idiopathic:  737.30
• Thoracic compression fracture (traumatic):  805.2
• Vertebral fracture (pathologic):  733.13 [use for compression fractures secondary to a pre-existing condition such as osteoporosis, bone cysts/tumors, hemangiomas, Paget’s, osteomyelitis, etc.].  The two most commonly used secondary diagnoses I use are the osteoporosis codes below.
  • Osteoporosis (unspecified):  733.00
  • Osteoporosis (idiopathic):  733.02
• Thoracic failed back surgery syndrome (FBSS) or postlaminectomy syndrome:  722.82
• Syrinx (syringomyelia):  336.0
• Diffuse idiopathic skeletal hyperostosis (DISH):  721.6
• Thoracic outlet syndrome (TOS): 353.0
• Low back pain (Lumbago):  724.2
• Lumbar sprain:  847.2
• Lumbar spondylosis w/o myelopathy:  721.3
• Lumbar spondylosis with myelopathy:  721.42
• Lumbar herniated disc:  722.10
• Lumbar herniated disc with myelopathy:  721.42
• Lumbosacral degenerated disc disease (LS-DDD): 722.52
• Lumbar spinal stenosis:  724.02
• Lumbar spinal stenosis with neurogenic claudication:  724.03
• Sciatica:  724.3
• Lumbar radiculopathy (radiculitis):  724.4
• Lumbar failed back surgery syndrome (FBSS) or postlaminectomy syndrome:  722.83
• Spondylolisthesis:  738.4
• Spondylolysis (lumbosacral):  756.11
• Lumbosacral plexopathy:  953.5
• Epidural fibrosis:  349.2
• Arachnoiditis (unspecified meningitis):  322.9
• Sacroiliac joint syndrome or dysfunction:  720.2
• Disorders of the sacrum (SIJ pain):  724.6
• Coccydynia:  724.79
• Lumbar compression fracture (traumatic):  805.4
• Iliolumbar syndrome (lumbosacral ligament sprain):  846.0
• Ribs (sprain): 848.3
• Cluneal neuroma (and other unspecified neuromas/neuritis):  729.2
• Bertolotti’s syndrome (congenital fusion of spine):  756.15

Shoulder

• Osteoarthritis – shoulder (glenohumeral):  715.11
• Osteoarthritis – shoulder region (acromioclavicular joint, sternoclavicular joint):  715.91
• Shoulder pain:  719.41
• Sternoclavicular joint sprain pain:  848.41
• Subacromial bursitis:  726.10
• Other shoulder bursitis’ (scapulothoracic bursitis):  726.19
• Rotator cuff impingement (shoulder impingement):  726.2
• Superior glenoid labral tear (shoulder labral tear):  840.7
• Adhesive capsulitis (frozen shoulder):  726.0
• Rotator cuff syndrome (sprain):  840.4
• Rotator cuff tear (atraumatic):  727.61
• Brachial plexopathy (atraumatic):  353.0
• Brachial plexopathy (traumatic):  767.6
• Bicipital (biceps) tendonitis:  726.12
• Trigger points in trapezius:  723.9
• Trigger points in levator/rhomboid:  726.19

Elbow

• Elbow pain:  719.42
• “Forearm” joint pain:  719.43
• Medial epicondylitis (golfer’s elbow):  726.31
• Lateral epicondylitis (tennis elbow):  726.32
• Olecranon bursitis:  726.33
• Osteoarthritis – elbow:  715.12
• Median neuropathy (other than CTS): 354.1
• Radial neuropathy:  354.3

Wrist / Hand

• Hand/wrist joint pain:  719.44
• Carpal tunnel syndrome:  354.0
• Ulnar neuropathy (cubital tunnel syndrome):  354.2
• Osteoarthritis – wrist:  715.13
• Osteoarthritis – hand:  715.14
• Trigger finger:  727.03
• De Quervain’s tenosynovitis (radial styloid tenosynovitis):  727.04
• Wrist drop (acquired):  736.05
• Ganglion cyst:  727.4
• Other sprains / strains of hand:  842.19
• Disturbance of skin sensation (“numbness in hands/feet/anywhere”):  782.0

Other Upper Extremity

• Complex regional pain syndrome type I (CRPS type 1):  337.21
• Complex regional pain syndrome type II (CRPS type 2) – causalgia:  354.4

Pelvis / Hip / Thigh

• Osteoarthritis – hip:  715.15
• Hip pain:  719.45
• Trochanteric bursitis (also ischial/gluteal bursitis):  726.5
• Iliotibial band syndrome (other disorders of muscle, ligament, fascia):  728.89
• Meralgia paresthetica (lateral femoral cutaneous neuropathy):  355.1
• Femoral neuropathy:  355.2
• Piriformis syndrome (mononeuritis):  355.9
• Gluteus strain / buttock pain (sprains and strains of other specified sites of hip and thigh):  843.8
• Hamstring sprain/strain:  843.9
• Osteitis Pubis (osteitis condensans):  733.5

Knee

• Osteoarthritis – knee:  715.16
• Knee pain:  719.46
• Medial meniscus tear (unspecified):  717.3
• Lateral meniscus tear (unspecified):  717.40
• Chondromalacia patella:  717.7
• Other internal derangement (ligament injury) of knee:  717.89
• Pes anserine bursitis/tendinitis:  726.61
• Baker’s cyst:  727.50
• Prepatellar bursitis:  726.65
• Patellar tendinitis:  726.64
• Peroneal neuropathy:  956.3

Ankle / Foot

• Ankle/Foot pain:  719.47
• Achilles tendinitis/bursitis:  726.71
• Plantar fasciitis:  728.71
• Morton’s neuroma:  355.6
• Metatarsalgia:  726.70
• Tarsal tunnel syndrome:  355.5

Other Lower Extremity

• Phantom limb pain:  353.6
• Complex regional pain syndrome type I (CRPS type 1):  337.22
• Complex regional pain syndrome type II (CRPS type 2) – causalgia:  355.71
• Post polio syndrome:  138

Rheumatologic

• Rheumatoid arthritis:  714.0
• Systemic lupus erythematosus (SLE):  710.0
• Dermatomyositis:  710.3
• Polymyositis:  710.4
• Gout:  274.0
• Ankylosing spondylitis (AS):  720.0
• Polymyalgia rheumatica (PMR):  725

Psych

• Depression:  311
• Anxiety:  300.02
• Insomnia:  780.52
• Substance use disorder:  305.9
• Idiopathic hypersomnia:  780.54
• Restless leg syndrome:  333.39
• Withdrawal syndrome:  292.0
• Factitious disorder:  300.19
• Somatoform disorder:  300.81
• Histrionic personality disorder:  301.5
• Borderline personality disorder:  301.83

Miscellaneous

• Osteoarthritis – traumatic:  716.1
• Spasticity:  781.0
• Muscle spasm:  728.85
• Myofascial pain / Fibromyalgia:  729.1
• Chronic pain syndrome:  338.4
• Gait abnormality:  781.2
• Poor balance:  719.7
• Osteoporosis:  733.00
• Costochondritis:  733.6
• Ribs (sprain):  848.3
• Ribs (closed fracture; Google for specific code relating to the number of ribs):  807.0
• Ribs (open fracture):  807.1
• Tendinitis NOS:  726.90
• Compartment syndrome:  958.8
• Costovertebral joint pain:  739.8
• Peripheral neuropathy:  356.9
• Numbness of skin (“Disturbance of skin sensation”):  782.0
• Diabetic amyotrophy (neuralgic amyotrophy):  353.5
• Diabetic peripheral neuropathy:  250.6
• Neuralgia, neuritis, radiculitis (unspecified):  729.2
• Gastroesophageal reflux (GERD):  530.81
• Testosterone deficiency:  257.2
• Vitamin D deficiency:  268.9
• Constipation:  564
• Nausea:  787.02
• Urinary retention:  788.2
• Obesity:  278.0
• Edema:  782.3
• Intercostal neuralgia:  353.8
• Post-thoracotomy syndrome:  338.22
• Post-herpetic neuralgia:  053.10
• Peripheral vascular disease (PVD):  443.9
• Disuse atrophy:  728.2