Pain Disorder Associated with Both Psychological Factors and a General Medical Condition:  ICD-9-CM Code  307.89

 

Definition:  

 

Chronic pain condition in which both psychological factors and a general medical condition are considered to be significant contributors to the disorder whether the psychological contribution contributes to the onset, severity, exacerbation, or maintenance of the pain.  Evaluation and treatment in most cases will require evaluation and treatment of the medical conditions believed to be causing pain and evaluation and treatment of the psychological factors.

 

Note:  This diagnosis is a secondary diagnosis or second diagnosis of an individual who is already recognized as having a chronic pain condition recognized by BWC.  This condition may be combined with an allowance of a chronic pain disorder to provide the equivalent of chronic pain syndrome.  In lieu of this diagnostic code, more specific psychiatric diagnostic codes (most commonly those of depression) may be appropriate and more specific.

 

Note:  BWC does not recognize ICD-9 Code “307.80 Psychogenic pain, site unspecified” since this code is a primary mental health code and a medical condition has no or very minimal role.

 

Subjective:

 

·         Symptoms of pain of whose onset, severity, or maintenance are believed to be significantly affected by psychological factors and a chronic medical pain condition.

·         Individual must have a chronic pain allowance describing a general medical condition.

 

Objective:

 

·         None specific. 

 

Diagnostic Tests:

 

·         Since this condition is considered a mental disorder, a psychological/psychiatric independent medical evaluation must be performed as in any other request for a psychological/psychiatric allowance.