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.

G89.29 billable

Chronic pain ICD-10 codes at a glance

ConditionChronic pain
CodeG89.29 — Other chronic pain
BillableYes (G89.29)
Alphabetic Index entryPain, chronic
Code setICD-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 dysfunctionG89.4Chronic pain syndrome
due to traumaG89.21Chronic pain due to trauma
neoplasm relatedG89.3Neoplasm related pain (acute) (chronic)
postoperative NECG89.28Other chronic postprocedural pain
postprocedural NECG89.28Other chronic postprocedural pain
post-thoracotomyG89.22Chronic post-thoracotomy pain
specified NECG89.29Other 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.”
ICD-10-CM Official Guidelines, Section I.C.6.b.1
“If the pain is not specified as acute or chronic, post-thoracotomy, postprocedural, or neoplasm-related, do not assign codes from category G89.”
ICD-10-CM Official Guidelines, Section I.C.6.b.1

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.

  • generalized pain NOS (R52)
  • pain disorders exclusively related to psychological factors (F45.41)
  • pain NOS (R52)

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.

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