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US · guidance

HOPE All Items v1.01, Item J0910

Comprehensive Pain Assessment

activein force · 2025-10-01 – presentcompiled-edition

J0910. Comprehensive Pain Assessment

Enter Code A. Was a comprehensive pain assessment done?

0. No — Skip to J2030, Screening for Shortness of Breath

1. Yes

B. Date of Comprehensive pain assessment:

Month Day Year

C. Comprehensive pain assessment included:

↓ Check all that apply

1. Location

2. Severity

3. Character

4. Duration

5. Frequency

6. What relieves/worsens pain

7. Effect on function or quality of life

9. None of the above

History

HOPE All Items v1.01, effective October 1, 2025 (OMB control number 0938-1153).

Provenance

Source
cms.gov
Retrieved
2026-09-17
Edition
hope-v1.02
Content hash
0adb6ab71694d5b05d3fdadea4780198c5366bc474dc3035f9e98f33da3c91e6
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