ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 R68.84

Billable / Specific

Jaw pain

R68
Block
2
Synonyms
127
LCDs
8
Payer Policies
0
Linked CPTs

About ICD-10-CM R68.84

ICD-10-CM code R68.84 represents Jaw pain. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R68). The 2026 edition of ICD-10-CM R68.84 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under R68.84. Per CMS ICD-10-CM Tabular 2026.

  • Mandibular pain
  • Maxilla pain

Type 1 Excludes

Pure excludes, these codes can never be coded together with R68.84. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • temporomandibular joint arthralgia (M26.62-)

Medicare LCD Coverage for R68.84

Local Coverage Determinations (LCDs) from CMS MACs that list R68.84 as a covered diagnosis.

127 LCDs

Showing top 10 of 127 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Continuous Peripheral Nerve Blocks (CPNB)
Article ID: 56607, Effective: 2025-10-01 00:00:00, 604 covered, 0 non-covered
CPT 64416 →
CMS LCD: Billing and Coding: Continuous Peripheral Nerve Blocks (CPNB)
Article ID: 56607, Effective: 2025-10-01 00:00:00, 604 covered, 0 non-covered
CPT 64446 →
CMS LCD: Billing and Coding: Continuous Peripheral Nerve Blocks (CPNB)
Article ID: 56607, Effective: 2025-10-01 00:00:00, 604 covered, 0 non-covered
CPT 64448 →
CMS LCD: Billing and Coding: Continuous Peripheral Nerve Blocks (CPNB)
Article ID: 56607, Effective: 2025-10-01 00:00:00, 604 covered, 0 non-covered
CPT 64449 →
CMS LCD: Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Article ID: 57063, Effective: 2025-10-01 00:00:00, 820 covered, 1 non-covered
CPT 43246 →
CMS LCD: Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Article ID: 57063, Effective: 2025-10-01 00:00:00, 820 covered, 1 non-covered
CPT 43243 →
CMS LCD: Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Article ID: 57063, Effective: 2025-10-01 00:00:00, 820 covered, 1 non-covered
CPT 43235 →
CMS LCD: Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Article ID: 57063, Effective: 2025-10-01 00:00:00, 820 covered, 1 non-covered
CPT 43250 →
CMS LCD: Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Article ID: 57063, Effective: 2025-10-01 00:00:00, 820 covered, 1 non-covered
CPT 43236 →
CMS LCD: Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Article ID: 57063, Effective: 2025-10-01 00:00:00, 820 covered, 1 non-covered
CPT 43247 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing R68.84.

8 policies

5 Medicare

Billing and Coding: Nerve Blockade for Treatment of Chronic Pain and Neuropathy
Policy ID: ART-56034
Billing and Coding: Continuous Peripheral Nerve Blocks (CPNB)
Policy ID: ART-56607
Billing and Coding: Magnetic Resonance Imaging of the Head and Neck
Policy ID: ART-56729
Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Policy ID: ART-57063
Billing and Coding: Cardiovascular Stress Testing, Including Exercise and/or Pharmacological Stress and Stress Echocardiography
Policy ID: ART-57183

CPT Codes Commonly Billed with R68.84

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for R68.84

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 R68.84 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
R68.84 78492 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 R68.84, Billing FAQ

Is ICD-10 code R68.84 billable? +

Yes, R68.84 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 R68.84? +

ICD-10 R68.84 includes: Mandibular pain; Maxilla pain.

What codes are Type 1 Excludes for R68.84? +

Type 1 Excludes (never code together with R68.84): temporomandibular joint arthralgia (M26.62-)

What ICD-9 codes does R68.84 map to? +

Per CMS GEMs, R68.84 maps to ICD-9 codes: 78492. 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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