G89.21

G89.21: Chronic pain due to trauma

Billable / specific codeICD-10-CM

G89.21 is a billable, specific ICD-10-CM code for chronic pain due to trauma. It is valid for submission on a claim.

Check G89.21 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above G89.21

A category’s note binds every code beneath it.

Written on G89.2: Chronic pain, not elsewhere classified

causalgia, lower limb (G57.7-)
causalgia, upper limb (G56.4-)
central pain syndrome (G89.0)
chronic pain syndrome (G89.4)
complex regional pain syndrome II, lower limb (G57.7-)
complex regional pain syndrome II, upper limb (G56.4-)
neoplasm related chronic pain (G89.3)
reflex sympathetic dystrophy (G90.5-)

Written on G89: Pain, not elsewhere classified

generalized pain NOS (R52)
pain disorders exclusively related to psychological factors (F45.41)
pain NOS (R52)

Excludes2 inherited from the categories above G89.21

Not part of this code, but both may be coded when both are present.

Written on G89: Pain, not elsewhere classified

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-)

Other codes that can never be billed with G89.21

Their own Excludes1 notes name this code, so the conflict is not listed above.

R52Pain, unspecified

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

G89.21 is named in 11 Medicare coverage policies: 6 listing it as supporting medical necessity, and 5 listing it as NOT covered. Which one applies depends on your Medicare contractor.

A57701Billing and Coding: Trigger Point Injections (TPI)not covered
A59480Billing and Coding: Trigger Point Injections (TPI)not covered
A59487Billing and Coding: Trigger Point Injections (TPI)not covered
A59498Billing and Coding: Trigger Point Injections (TPI)not covered

Alphabetic index entries that lead here

Pain›chronic›due to trauma

Code history

Unchanged in every release from FY2024 to FY2027.