DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

R52 diagnosis code · Billable category · FY2027

R52 Pain, unspecified

  • Billable
  • Not CC/MCC
  • POA reported

R52 ICD-10 code: a billable diagnosis code in FY2027; the category has no subdivisions.

Where it sits

  1. Chapter 18 Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
  2. R50-R69 General symptoms and signs (R50-R69)
  3. R52 Pain, unspecified
CC / MCC
Neither
MS-DRG
947-948
HCC V28
–
POA
Reported
Code Editor
–
Index entries
3

Instructions

At R52

Inclusion terms

  • Acute pain NOS
  • Generalized pain NOS
  • Pain NOS

Excludes1

  • acute and chronic pain, not elsewhere classified (G89.-) G89
  • localized pain, unspecified type - code to pain by site, such as:
  • abdomen pain (R10.-) R10
  • back pain (M54.9) M54.9
  • breast pain (N64.4) N64.4
  • chest pain (R07.1-R07.9) R07.1 R07.9
  • ear pain (H92.0-) H92.0
  • eye pain (H57.1) H57.1
  • headache (R51.9) R51.9
  • joint pain (M25.5-) M25.5
  • limb pain (M79.6-) M79.6
  • lumbar region pain (M54.5-) M54.5
  • pelvic and perineal pain (R10.2-) R10.2
  • shoulder pain (M25.51-) M25.51
  • spine pain (M54.-) M54
  • throat pain (R07.0) R07.0
  • tongue pain (K14.6) K14.6
  • tooth pain (K08.8) K08.8
  • renal colic (N23) N23
  • pain disorders exclusively related to psychological factors (F45.41) F45.41

Notes that also apply

Chapter 18 instructions (Notes 9, Excludes2 4): printed on the chapter 18 page.

Index entries

  • Pain(s) → R52
  • Pain(s)acute → R52
  • Pain(s)generalized NOS → R52

NCHS Alphabetic Index. Index first, then the Tabular List.

Medicare grouping and edits

CMS files for R52
CC / MCCNeither
Appendix BMDC 23 Factors Influencing Health Status and Other Contacts with Health Services, MS-DRG 947-948 (Signs and Symptoms with MCC…)
Code Editor–
POAReported
HCC V28–

CMS: MS-DRG v44 (Appendix B, C), MCE v44, POA list FY2027, 2027 Initial ICD-10-CM Mappings. What the rows mean.

Hierarchy