Pain, unspecified
ICD-10 Code: R52 · Body Part: Lumbar Spine
QME Evaluation Process
Non-specific pain code. QME should identify specific anatomic source. Pain assessment per Chapter 18 add-on methodology.
Typical Impairment Rating
Up to 3% WPI add-on; usually paired with specific diagnosis
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 Pain, unspecified
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What is Pain, unspecified (R52)?
Pain, unspecified is an ICD-10 diagnosis code (R52) 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 R52 rated for impairment?
The typical whole person impairment (WPI) range for Pain, unspecified is Up to 3% WPI add-on; usually paired with specific diagnosis. 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 R52?
Non-specific pain code. QME should identify specific anatomic source. Pain assessment per Chapter 18 add-on methodology.
What treatments are common for Pain, unspecified?
Common treatments for Pain, unspecified include Dependent on underlying cause, Pain management, Physical therapy. Treatment appropriateness and outcomes are considered during the QME evaluation when determining permanent and stationary status and apportionment.