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

ICD-10 G89.21

Billable / Specific

Chronic pain due to trauma

G89
Block
0
Synonyms
127
LCDs
9
Payer Policies
15
Linked CPTs

About ICD-10-CM G89.21

ICD-10-CM code G89.21 represents Chronic pain due to trauma. This is a billable/specific code in the Nervous System chapter (block G89). The 2026 edition of ICD-10-CM G89.21 became effective on October 1, 2025.

Medicare LCD Coverage for G89.21

Local Coverage Determinations (LCDs) from CMS MACs that list G89.21 as a covered diagnosis.

127 LCDs

Showing top 10 of 127 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Continuous Peripheral Nerve Blocks (CPNB)
Article ID: 56607, Effective: 2025-10-01 00:00:00, 604 covered, 0 non-covered
CPT 64416 →
CMS LCD: Billing and Coding: Continuous Peripheral Nerve Blocks (CPNB)
Article ID: 56607, Effective: 2025-10-01 00:00:00, 604 covered, 0 non-covered
CPT 64446 →
CMS LCD: Billing and Coding: Continuous Peripheral Nerve Blocks (CPNB)
Article ID: 56607, Effective: 2025-10-01 00:00:00, 604 covered, 0 non-covered
CPT 64448 →
CMS LCD: Billing and Coding: Continuous Peripheral Nerve Blocks (CPNB)
Article ID: 56607, Effective: 2025-10-01 00:00:00, 604 covered, 0 non-covered
CPT 64449 →
CMS LCD: Billing and Coding: Nerve Blockade for Treatment of Chronic Pain and Neuropathy
Article ID: 56034, Effective: 2026-03-05 00:00:00, 497 covered, 25 non-covered
CPT 97139 →
CMS LCD: Billing and Coding: Nerve Blockade for Treatment of Chronic Pain and Neuropathy
Article ID: 56034, Effective: 2026-03-05 00:00:00, 497 covered, 25 non-covered
CPT 64620 →
CMS LCD: Billing and Coding: Nerve Blockade for Treatment of Chronic Pain and Neuropathy
Article ID: 56034, Effective: 2026-03-05 00:00:00, 497 covered, 25 non-covered
CPT 64420 →
CMS LCD: Billing and Coding: Nerve Blockade for Treatment of Chronic Pain and Neuropathy
Article ID: 56034, Effective: 2026-03-05 00:00:00, 497 covered, 25 non-covered
CPT 64415 →
CMS LCD: Billing and Coding: Nerve Blockade for Treatment of Chronic Pain and Neuropathy
Article ID: 56034, Effective: 2026-03-05 00:00:00, 497 covered, 25 non-covered
CPT 64408 →
CMS LCD: Billing and Coding: Nerve Blockade for Treatment of Chronic Pain and Neuropathy
Article ID: 56034, Effective: 2026-03-05 00:00:00, 497 covered, 25 non-covered
CPT 76881 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing G89.21.

9 policies

2 Aetna

Peripheral Electrical Nerve Stimulation for Pain - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0011
Infusion Pumps
Policy ID: CPB-0161

1 Cigna

Acupuncture - (CPG024)
Policy ID: CPG024_ACUPUNCTURE

5 Medicare

Billing and Coding: Nerve Blockade for Treatment of Chronic Pain and Neuropathy
Policy ID: ART-56034
Billing and Coding: Continuous Peripheral Nerve Blocks (CPNB)
Policy ID: ART-56607
Billing and Coding: CT of the Head
Policy ID: ART-56612
Billing and Coding: Implantable Infusion Pump
Policy ID: ART-56695
Billing and Coding: Psychiatric Codes
Policy ID: ART-57130

CPT Codes Commonly Billed with G89.21

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

15 linkages
  • 20526 Injection of joint or bursa for pain relief Pain Medicine
  • 64470 Injection of anesthetic agent into facet joint Pain Medicine
  • 64480 Injection of anesthetic agent into facet joint, lumbar or sacrum Pain Medicine
  • 64640 Percutaneous implantation of neurostimulator electrodes Pain Medicine
  • 64650 Percutaneous implantation of neurostimulator pulse generator Pain Medicine
  • 64550 Implantation of spinal cord stimulator Pain Medicine
  • 20520 Arthrocentesis, aspiration, and/or injection of joint or bursa Pain Medicine
  • 20525 Injection of joint or bursa for pain relief, with fluoroscopic guidance Pain Medicine
  • 20600 Arthrocentesis, aspiration, and/or injection of joint or bursa, with ultrasound guidance Pain Medicine
  • 20610 Injection of joint or bursa for pain relief, with CT guidance Pain Medicine

Convert G89.21 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
G89.21 33821 00000

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

ICD-10 G89.21, Billing FAQ

Is ICD-10 code G89.21 billable? +

Yes, G89.21 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What CPT codes are commonly billed with G89.21? +

Procedures frequently paired with G89.21 include: 20526, 64470, 64480, 64640, 64650.

What ICD-9 codes does G89.21 map to? +

Per CMS GEMs, G89.21 maps to ICD-9 codes: 33821. 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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