Chronic pain syndrome
ICD-10 Code: G89.4 · Body Part: Lumbar Spine
QME Evaluation Process
Comprehensive biopsychosocial pain assessment, functional capacity evaluation, psychological evaluation. Pain impairment per Chapter 18 with potential psychiatric impairment overlay.
Typical Impairment Rating
Up to 3% WPI add-on for pain; additional psychiatric impairment may apply
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 syndrome
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Browse Neurology Physicians →Frequently Asked Questions
What is Chronic pain syndrome (G89.4)?
Chronic pain syndrome is an ICD-10 diagnosis code (G89.4) 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 G89.4 rated for impairment?
The typical whole person impairment (WPI) range for Chronic pain syndrome is Up to 3% WPI add-on for pain; additional psychiatric impairment may apply. 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 G89.4?
Comprehensive biopsychosocial pain assessment, functional capacity evaluation, psychological evaluation. Pain impairment per Chapter 18 with potential psychiatric impairment overlay.
What treatments are common for Chronic pain syndrome?
Common treatments for Chronic pain syndrome include Interdisciplinary pain program, Cognitive behavioral therapy, Physical therapy, Medication management, Spinal cord stimulation. Treatment appropriateness and outcomes are considered during the QME evaluation when determining permanent and stationary status and apportionment.