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G89.4

Billable

Chronic pain syndrome

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A condition characterized by persistent pain lasting longer than normal healing time, often accompanied by physical and emotional symptoms that significantly impact daily functioning.

Coding Tips

  • Specify the site of pain with an additional code when documented
  • Distinguish from acute pain (G89.1-G89.3) by confirming duration exceeds normal healing period

Code Hierarchy

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