Pain, not elsewhere classified (G89) ICD-10-CM
The G89 code range covers pain, not elsewhere classified with 13 ICD-10-CM diagnosis codes. 10 of them are billable and valid for claim submission in fiscal year 2027, and the category headers group them but cannot themselves be billed.
Code Also
A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
- related psychological factors associated with pain F45.42
Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
- generalized pain NOS R52
- pain disorders exclusively related to psychological factors F45.41
- pain NOS R52
Type 2 Excludes
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
- atypical face pain G50.1
- headache syndromes G44
- localized pain, unspecified type - code to pain by site, such as:
- abdomen pain R10
- back pain M54.9
- breast pain N64.4
- chest pain R07.1 R07.9
- ear pain H92.0
- eye pain H57.1
- headache R51.9
- joint pain M25.5
- limb pain M79.6
- lumbar region pain M54.5
- painful urination R30.9
- pelvic and perineal pain R10.2
- shoulder pain M25.51
- spine pain M54
- throat pain R07.0
- tongue pain K14.6
- tooth pain K08.8
- renal colic N23
- migraines G43
- myalgia M79.1
- pain from prosthetic devices, implants, and grafts T82.84 T83.84 T84.84 T85.84
- phantom limb syndrome with pain G54.6
- vulvar vestibulitis N94.810
- vulvodynia N94.81
Codes in the G89 Range 13 codes · 10 billable
- G89 Pain, not elsewhere classifiedNon-billable
- G89.0 Central pain syndrome
- G89.1 Acute pain, not elsewhere classifiedNon-billable
- G89.11 Acute pain due to trauma
- G89.12 Acute post-thoracotomy pain
- G89.18 Other acute postprocedural pain
- G89.2 Chronic pain, not elsewhere classifiedNon-billable
- G89.21 Chronic pain due to trauma
- G89.22 Chronic post-thoracotomy pain
- G89.28 Other chronic postprocedural pain
- G89.29 Other chronic pain
- G89.3 Neoplasm related pain (acute) (chronic)
- G89.4 Chronic pain syndrome
Clinical Terms in This Code Range
Definitions from the National Library of Medicine for conditions coded in the G89 range.
Acute Pain
Intensely discomforting, distressful, or agonizing sensation associated with trauma or disease, with well-defined location, character, and timing.
Cancer Pain
Pain that may be caused by or related to cellular, tissue, and systemic changes that occur during NEOPLASM growth, tissue invasion, and METASTASIS.
Central Pain Syndrome
A neurological condition characterized by diffuse sensory changes, most commonly pain, secondary to central nervous system disease or injury.
Chronic Pain
Aching sensation that persists for more than a few months. It may or may not be associated with trauma or disease, and may persist after the initial injury has healed. Its localization, character, and timing are more vague than with acute pain.
Pain
An unpleasant sensation induced by noxious stimuli which are detected by NERVE ENDINGS of NOCICEPTIVE NEURONS.
About the G89 Code Range
Pain that is not classified elsewhere appears here under nervous system disorders. The categories distinguish central pain syndrome, acute and chronic pain, pain related to a neoplasm (tumor), and chronic pain syndrome.
G89.0 identifies central pain syndrome. Acute pain under G89.1 and chronic pain under G89.2 split by cause or context: injury, thoracotomy (chest surgery), or another procedure. Chronic pain also has an other chronic pain subdivision. G89.3 identifies neoplasm-related pain, whether acute or chronic. G89.4 identifies chronic pain syndrome.
Questions About This Page
How many billable codes are in the G89 range?
Of the 13 codes in this range, 10 are billable and valid for claim submission from October 1, 2026 through September 30, 2027. Category header codes group them but cannot be reported on claims.
What does the G89 range classify?
The range classifies pain, not elsewhere classified. Each code links to its own reference page with billing status, MS-DRG grouping, coding notes, and clinical information.
Related References
Source: CMS FY 2027 ICD-10-CM Tabular List and order file, effective October 1, 2026 through September 30, 2027.
