Chronic pain due to trauma
ICD-10 Code: G89.21 · Body Part: Lumbar Spine
QME Evaluation Process
Pain assessment linked to specific traumatic injury, functional capacity evaluation, imaging correlation. Pain add-on per Chapter 18.
Typical Impairment Rating
Up to 3% WPI add-on for pain
AMA Guides Edition
5th Edition
Common Treatments
Related Conditions
Body Part Guide
Lumbar Spine Evaluation Guide
Impairment rating methods, common conditions, and QME evaluation protocols
QME Specialties for Chronic pain due to trauma
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What is Chronic pain due to trauma (G89.21)?
Chronic pain due to trauma is an ICD-10 diagnosis code (G89.21) classified under Pain conditions. It affects the Lumbar Spine and is commonly encountered in California workers' compensation claims. QME physicians evaluate this condition using AMA Guides 5th Edition protocols.
How is G89.21 rated for impairment?
The typical whole person impairment (WPI) range for Chronic pain due to trauma is Up to 3% WPI add-on for pain. The exact rating depends on clinical findings, imaging, and the evaluation method (DRE or ROM) chosen by the QME physician per AMA Guides 5th Edition.
What is the QME evaluation process for G89.21?
Pain assessment linked to specific traumatic injury, functional capacity evaluation, imaging correlation. Pain add-on per Chapter 18.
What treatments are common for Chronic pain due to trauma?
Common treatments for Chronic pain due to trauma include Physical therapy, Pain management, Cognitive behavioral therapy. Treatment appropriateness and outcomes are considered during the QME evaluation when determining permanent and stationary status and apportionment.