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G89 ICD-10-CM Code: Pain, not elsewhere classified

ICD-10-CM Code View

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FY 2026 Apr update / Diseases of the nervous system (G00-G99) / Other disorders of the nervous system (G89-G99)

G89

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Pain, not elsewhere classified

Pain, not elsewhere classified

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
G8Other disorders of the nervous system (G89-G99)
G89Pain, not elsewhere classified

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for G89 in this effective period.

Excludes 2

Official
  • 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)

Related Child Codes

Official
G89.0Central pain syndrome
G89.1Acute pain, not elsewhere classified
G89.2Chronic pain, not elsewhere classified
G89.3Neoplasm related pain (acute) (chronic)
G89.4Chronic pain syndrome

Includes

Official

ICD-10-CM does not list Includes notes for G89 in this effective period.

Excludes 1

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

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for G89 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for G89 in this effective period.

Code Also

Official
  • related psychological factors associated with pain (F45.42)

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Coder workflow notes

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What This Code Means

G89 is the ICD-10-CM diagnosis code for pain, not elsewhere classified. G89 sits in the ICD-10-CM chapter for diseases of the nervous system (g00-g99), within the section covering other disorders of the nervous system (g89-g99).

Header codes like G89 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at G89's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for G89 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

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

Excludes 2, Not included here, may code separately

Code Also

  • related psychological factors associated with pain (F45.42)

Child Codes

Code Hierarchy

G89Pain, not elsewhere classified
G89Pain, not elsewhere classified

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