ICD-10 R52
Billable / SpecificPain, unspecified
About ICD-10-CM R52
ICD-10-CM code R52 represents Pain, unspecified. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R52). The 2026 edition of ICD-10-CM R52 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under R52. Per CMS ICD-10-CM Tabular 2026.
- Acute pain NOS
- Generalized pain NOS
- Pain NOS
Type 1 Excludes
Pure excludes, these codes can never be coded together with R52. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- 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)
Medicare LCD Coverage for R52
Local Coverage Determinations (LCDs) from CMS MACs that list R52 as a covered diagnosis.
Showing top 10 of 225 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing R52.
5 Medicare
CPT Codes Commonly Billed with R52
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Convert R52 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| R52 | 33819 | 10000 |
| R52 | 78096 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To R52
Other codes in section R50-R69 (General symptoms and signs).
ICD-10 R52, Billing FAQ
Is ICD-10 code R52 billable? +
Yes, R52 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to R52? +
ICD-10 R52 includes: Acute pain NOS; Generalized pain NOS; Pain NOS.
What codes are Type 1 Excludes for R52? +
Type 1 Excludes (never code together with R52): acute and chronic pain, not elsewhere classified (G89.-); localized pain, unspecified type - code to pain by site, such as:; abdomen pain (R10.-)
What ICD-9 codes does R52 map to? +
Per CMS GEMs, R52 maps to ICD-9 codes: 33819, 78096. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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