Chronic primary musculoskeletal pain

Description

Chronic primary musculoskeletal pain is chronic pain in the muscles, bones, joints or tendons that is characterised by significant emotional distress (anxiety, anger/frustration or depressed mood) or functional disability (interference in daily life activities and reduced participation in social roles). Chronic primary musculoskeletal pain is multifactorial: biological, psychological and social factors contribute to the pain syndrome. The diagnosis is appropriate independently of identified biological or psychological contributors unless another diagnosis would better account for the presenting symptoms. Other chronic musculoskeletal pain diagnoses to be considered are those listed under chronic secondary musculoskeletal pain.

Coding note from above levels

Other chronic pain diagnoses to be considered are chronic cancer-related pain, chronic postsurgical or posttraumatic pain, chronic neuropathic pain, chronic secondary headache or orofacial pain, chronic secondary visceral pain and chronic secondary musculoskeletal pain.

This code should be used if a pain condition persists or recurs for longer than 3 months.

Inclusions

• Chronic primary low back pain
• Chronic primary cervical pain
• Chronic primary thoracic pain
• Chronic primary limb pain

Excludes

• MG31 – Acute pain

Exclusions from above levels

• 8E43 – Pain disorders
• AB70.2 – Ear pain
• DA0A – Pain in tooth, toothache