ICD-10 Code for Chronic Pain
The ICD-10-CM code for chronic pain is G89.29 — Other chronic pain. It is billable for FY2027.
Chronic pain ICD-10 codes at a glance
| Condition | Chronic pain |
|---|---|
| Code | G89.29 — Other chronic pain |
| Billable | Yes (G89.29) |
| Alphabetic Index entry | Pain, chronic |
| Code set | ICD-10-CM FY2027, valid October 1, 2026 – September 30, 2027 |
What changes the chronic pain code?
The Alphabetic Index lists these qualifiers under Pain, chronic. If the record documents one of them, the code changes. Verify the code in the Tabular List before reporting it.
| associated with significant psychosocial dysfunction | G89.4 | Chronic pain syndrome |
| due to trauma | G89.21 | Chronic pain due to trauma |
| neoplasm related | G89.3 | Neoplasm related pain (acute) (chronic) |
| postoperative NEC | G89.28 | Other chronic postprocedural pain |
| postprocedural NEC | G89.28 | Other chronic postprocedural pain |
| post-thoracotomy | G89.22 | Chronic post-thoracotomy pain |
| specified NEC | G89.29 | Other chronic pain |
What else changes the chronic pain code?
G89.29 describes chronic pain as its own condition. It is not used when the underlying cause is being treated as the reason for the encounter — code the underlying condition instead — and it is not a substitute for a site-specific pain code; the two may be used together for added detail.
“Codes in category G89, Pain, not elsewhere classified, may be used in conjunction with codes from other categories and chapters to provide more detail about acute or chronic pain and neoplasm-related pain, unless otherwise indicated below.”
“If the pain is not specified as acute or chronic, post-thoracotomy, postprocedural, or neoplasm-related, do not assign codes from category G89.”
What does the Tabular List say about G89.29?
The instructional notes that govern G89.29, including those it inherits from its category and chapter. An Excludes1 note means the two codes are never reported together.
Excludes1 — never code together — inherited from G89
The conditions below can never be reported together with G89.29 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes1 — never code together — inherited from G89.2
The conditions below can never be reported together with G89.29 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- 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-)
Excludes2 — not included here — inherited from Chapter 6
The conditions below are not part of G89.29, but a patient may have both at the same time. When documentation supports it, G89.29 and the excluded code may both be reported.
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Excludes2 — not included here — inherited from G89
The conditions below are not part of G89.29, but a patient may have both at the same time. When documentation supports it, G89.29 and the excluded code may both be reported.
- 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-)
Code also — inherited from G89
Two codes may be needed to describe the condition fully. Whether G89.29 is sequenced first depends on the reason for the encounter.
- related psychological factors associated with pain (F45.42)
Codes, descriptions and Index entries are from the official ICD-10-CM FY2027 release. Guideline text is quoted from the ICD-10-CM Official Guidelines for Coding and Reporting FY 2027. A code must always be verified in the Tabular List before it is reported. Data sources