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G89.2 ICD-10-CM Code: Chronic 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)

G89.2

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

Chronic pain, not elsewhere classified

Chronic 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
G89Pain, not elsewhere classified
G89.2Chronic pain, not elsewhere classified

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for G89.2 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
G89.21Chronic pain due to trauma
G89.22Chronic post-thoracotomy pain
G89.28Other chronic postprocedural pain
G89.29Other chronic pain

Includes

Official

ICD-10-CM does not list Includes notes for G89.2 in this effective period.

Excludes 1

Official
  • 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-)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for G89.2 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for G89.2 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

G89.2 is the ICD-10-CM diagnosis code for chronic pain, not elsewhere classified. G89.2 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 G89.2 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 G89.2'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 G89.2 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • 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-)

Child Codes

Code Hierarchy

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