G89 — Pain, not elsewhere classified
G89 is a non-billable header ICD-10-CM code for pain, not elsewhere classified. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Excludes2 — not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
- 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-)
Code also
Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.
- related psychological factors associated with pain (F45.42)
Other codes that can never be billed with G89
These codes carry an Excludes1 note pointing at G89. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading G89 alone.
Risk adjustment
G89 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead G89
5 child codes. Green means billable.
Questions about G89
- Is G89 a billable ICD-10-CM code?
- No. G89 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does G89 sit in the tabular list?
- Diseases of the nervous system (G00-G99), in the block Other disorders of the nervous system (G89-G99).
- What cannot be coded together with G89?
- G89 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.