ICD-10 G89
Non-Billable HeaderPain, not elsewhere classified
About ICD-10-CM G89
ICD-10-CM code G89 represents Pain, not elsewhere classified. This is a non-billable header code in the Nervous System chapter (block G89). The 2026 edition of ICD-10-CM G89 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Type 1 Excludes
Pure excludes, these codes can never be coded together with G89. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- generalized pain NOS (R52)
- pain disorders exclusively related to psychological factors (F45.41)
- pain NOS (R52)
Type 2 Excludes
Not included here, the excluded code is not part of G89, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.
- 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-)
Coding Notes
Code Also
- related psychological factors associated with pain (F45.42)
Medicare LCD Coverage for G89
Local Coverage Determinations (LCDs) from CMS MACs that list G89 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing G89.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but G89 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with G89
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To G89
Other codes in section G89-G99 (Other disorders of the nervous system).
ICD-10 G89, Billing FAQ
Is ICD-10 code G89 billable? +
No, G89 is a non-billable header code. Use a more specific child code from block G89 when submitting claims.
What codes are Type 1 Excludes for G89? +
Type 1 Excludes (never code together with G89): generalized pain NOS (R52); pain disorders exclusively related to psychological factors (F45.41); pain NOS (R52)
What codes are Type 2 Excludes for G89? +
Type 2 Excludes (may be coded together when both conditions exist): atypical face pain (G50.1); headache syndromes (G44.-); localized pain, unspecified type - code to pain by site, such as:
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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