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In this case, report F45.42 and also lso assign an appropriate G89.- code (acute, chronic, etc.) Key Takeaway F45.41: psychological pain only no G89 code F45.42: psychological + physical pain code both F45.42 and G89 The Official Guidelines (Section I.C.5.a) specifically instruct coders to use both codes when documentation supports a psychological component alongside physical pain

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They are not from clinical trials, are not incidence rates, and are frequently inconsistent a meaningful share of community reports describe no noticeable effects at all