if J5a in (0,2,3,4) and J5b in (0,1,2,3,4) then do:
if J5a=0 then pain =0;
else if J5a in (1, 2) then pain=1;
else if J5a = 3 then do;
if J5b in (0,1,2) then pain = 2;
else if J5b = 3 then pain=3;
else if J5b= 4 then pain=4;
Question
is this possible to create this SAS code in Qualtrics?
Enter your E-mail address. We'll send you an e-mail with instructions to reset your password.

Note that you would want to think about every combination (your example didn't describe how to flow from QJ5A=4 but hopefully this example gives you an idea).