ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 G89.0

Billable / Specific

Central pain syndrome

G89
Block
3
Synonyms
43
LCDs
8
Payer Policies
0
Linked CPTs

About ICD-10-CM G89.0

ICD-10-CM code G89.0 represents Central pain syndrome. This is a billable/specific code in the Nervous System chapter (block G89). The 2026 edition of ICD-10-CM G89.0 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under G89.0. Per CMS ICD-10-CM Tabular 2026.

  • Déjérine-Roussy syndrome
  • Myelopathic pain syndrome
  • Thalamic pain syndrome (hyperesthetic)

Medicare LCD Coverage for G89.0

Local Coverage Determinations (LCDs) from CMS MACs that list G89.0 as a covered diagnosis.

43 LCDs

Showing top 10 of 43 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Psychiatry and Psychology Services
Article ID: 57480, Effective: 2026-01-01 00:00:00, 804 covered, 0 non-covered
CPT 90899 →
CMS LCD: Billing and Coding: Psychiatry and Psychology Services
Article ID: 57480, Effective: 2026-01-01 00:00:00, 804 covered, 0 non-covered
CPT 90839 →
CMS LCD: Billing and Coding: Psychiatry and Psychology Services
Article ID: 57480, Effective: 2026-01-01 00:00:00, 804 covered, 0 non-covered
CPT 90865 →
CMS LCD: Billing and Coding: Psychiatry and Psychology Services
Article ID: 57480, Effective: 2026-01-01 00:00:00, 804 covered, 0 non-covered
CPT G0018 →
CMS LCD: Billing and Coding: Psychiatry and Psychology Services
Article ID: 57480, Effective: 2026-01-01 00:00:00, 804 covered, 0 non-covered
CPT 90837 →
CMS LCD: Billing and Coding: Psychiatry and Psychology Services
Article ID: 57480, Effective: 2026-01-01 00:00:00, 804 covered, 0 non-covered
CPT 90845 →
CMS LCD: Billing and Coding: Psychiatry and Psychology Services
Article ID: 57480, Effective: 2026-01-01 00:00:00, 804 covered, 0 non-covered
CPT 90885 →
CMS LCD: Billing and Coding: Psychiatry and Psychology Services
Article ID: 57480, Effective: 2026-01-01 00:00:00, 804 covered, 0 non-covered
CPT 90785 →
CMS LCD: Billing and Coding: Psychiatry and Psychology Services
Article ID: 57480, Effective: 2026-01-01 00:00:00, 804 covered, 0 non-covered
CPT 90847 →
CMS LCD: Billing and Coding: Psychiatry and Psychology Services
Article ID: 57480, Effective: 2026-01-01 00:00:00, 804 covered, 0 non-covered
CPT 90791 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing G89.0.

8 policies

4 Aetna

Peripheral Electrical Nerve Stimulation for Pain - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0011
Infusion Pumps
Policy ID: CPB-0161
Cryoanalgesia and Therapeutic Cold
Policy ID: CPB-0297
Ziconotide (Prialt)
Policy ID: CPB-0712

1 Cigna

Duplex Scan of Extracranial Arteries - (0542)
Policy ID: MM_0542

3 Medicare

Billing and Coding: CT of the Head
Policy ID: ART-56612
Billing and Coding: Psychiatry and Psychology Services
Policy ID: ART-57480
Billing and Coding: Spinal Cord Stimulators for Chronic Pain
Policy ID: ART-57791

CPT Codes Commonly Billed with G89.0

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for G89.0

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.

Convert G89.0 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
G89.0 3380 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 G89.0, Billing FAQ

Is ICD-10 code G89.0 billable? +

Yes, G89.0 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to G89.0? +

ICD-10 G89.0 includes: Déjérine-Roussy syndrome; Myelopathic pain syndrome; Thalamic pain syndrome (hyperesthetic).

What ICD-9 codes does G89.0 map to? +

Per CMS GEMs, G89.0 maps to ICD-9 codes: 3380. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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