ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesR68.84

R68.84

Jaw pain

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 R68.84 is a billable code used to indicate a diagnosis of jaw pain.

Key Diagnostic Point:

Jaw pain, classified under ICD-10 code R68.84, refers to discomfort or pain experienced in the jaw area, which may arise from various underlying conditions. This symptom can manifest as acute or chronic pain and may be localized to one side or affect both sides of the jaw. Common causes of jaw pain include temporomandibular joint disorders (TMJ), dental issues such as tooth decay or abscess, muscle strain, arthritis, and referred pain from other areas such as the neck or ears. Patients may describe the pain as sharp, dull, throbbing, or aching, and it may be exacerbated by chewing, speaking, or opening the mouth wide. Clinical evaluation often involves a thorough history and physical examination, including palpation of the jaw and assessment of jaw movement. Imaging studies, such as X-rays or MRI, may be warranted to identify structural abnormalities. Given the broad differential diagnosis, it is crucial for healthcare providers to document the specific characteristics of the jaw pain, associated symptoms, and any relevant medical history to guide appropriate management and coding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential underlying causes
  • Overlap with dental and musculoskeletal conditions
  • Need for detailed documentation of symptoms
  • Potential for misclassification with other jaw-related codes

Audit Risk Factors

  • Inadequate documentation of pain characteristics
  • Failure to specify the underlying cause if known
  • Misuse of related codes leading to upcoding or downcoding
  • Lack of supporting clinical findings in the medical record

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed history of present illness, including onset, duration, and characteristics of pain, as well as any associated symptoms.

Common Clinical Scenarios

Patients presenting with chronic jaw pain, often associated with systemic conditions like arthritis.

Billing Considerations

Consideration of comorbidities that may contribute to jaw pain, such as fibromyalgia or myofascial pain syndrome.

Emergency Medicine

Documentation Requirements

Acute assessment of jaw pain, including trauma history, neurological examination, and any immediate interventions.

Common Clinical Scenarios

Patients presenting with acute jaw pain following trauma or with signs of infection.

Billing Considerations

Rapid assessment for serious conditions such as fractures or abscesses that may require immediate intervention.

Coding Guidelines

Inclusion Criteria

Use R68.84 When
  • Follow official ICD
  • 10 coding guidelines, ensuring that R68
  • 84 is used only when jaw pain is not classified elsewhere
  • Document the specific nature of the pain and any relevant clinical findings to support the diagnosis

Exclusion Criteria

Do NOT use R68.84 When
No specific exclusions found.

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used for follow-up visits for chronic jaw pain management.

Documentation Requirements

Document history, examination findings, and treatment plan.

Specialty Considerations

Internal medicine may focus on systemic causes, while dental specialties will focus on oral health.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of symptoms like jaw pain, improving the ability to capture the complexity of patient presentations and facilitating better data collection for research and quality improvement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of symptoms like jaw pain, improving the ability to capture the complexity of patient presentations and facilitating better data collection for research and quality improvement.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of symptoms like jaw pain, improving the ability to capture the complexity of patient presentations and facilitating better data collection for research and quality improvement.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

When should I use R68.84 instead of a more specific code?

Use R68.84 when jaw pain is the primary symptom and no specific diagnosis is available. If a specific condition such as TMJ or dental issues is diagnosed, use the corresponding codes.