---
title: "ICD-10-CM G89.4: Chronic pain syndrome | BillingBrief"
description: "ICD-10-CM code G89.4: Chronic pain syndrome. Category, related codes, and the official source, in plain English."
canonical: "https://billingbrief.com/icd10/g89.4/"
language: "en"
---

# G89.4 Chronic pain syndrome

ICD-10-CM · [CMS code reference](#source)

**Official ICD-10-CM description:** Chronic pain syndrome

## Coding notes

From the ICD-10-CM FY2027 (effective October 1, 2026) tabular list. Notes on a parent code or category apply here too.

### Also covers

-   Chronic pain associated with significant psychosocial dysfunction

### Excludes1

Not coded together with this code. The exception is when the two conditions are unrelated to each other.

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

### Excludes2

Not part of this code, but both can be coded when both are documented.

-   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](https://billingbrief.com/icd10/m54.9/))
-   breast pain (N64.4)
-   chest pain ([R07.1](https://billingbrief.com/icd10/r07.1/)\-[R07.9](https://billingbrief.com/icd10/r07.9/))
-   ear pain (H92.0-)
-   eye pain (H57.1)
-   headache ([R51.9](https://billingbrief.com/icd10/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](https://billingbrief.com/icd10/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

A second code may be needed. Sequencing depends on the encounter.

-   related psychological factors associated with pain (F45.42)

## Related codes

-   [`G89.11` Acute pain due to trauma ICD-10-CM](https://billingbrief.com/icd10/g89.11/)
-   [`G89.12` Acute post-thoracotomy pain ICD-10-CM](https://billingbrief.com/icd10/g89.12/)
-   [`G89.18` Other acute postprocedural pain ICD-10-CM](https://billingbrief.com/icd10/g89.18/)
-   [`G89.21` Chronic pain due to trauma ICD-10-CM](https://billingbrief.com/icd10/g89.21/)
-   [`G89.22` Chronic post-thoracotomy pain ICD-10-CM](https://billingbrief.com/icd10/g89.22/)
-   [`G89.28` Other chronic postprocedural pain ICD-10-CM](https://billingbrief.com/icd10/g89.28/)
-   [`G89.29` Other chronic pain ICD-10-CM](https://billingbrief.com/icd10/g89.29/)
-   [`G89.3` Neoplasm related pain (acute) (chronic) ICD-10-CM](https://billingbrief.com/icd10/g89.3/)

## Common questions

### Is G89.4 a billable code?

Yes. G89.4 is a billable ICD-10-CM code in the ICD-10-CM FY2027 (effective October 1, 2026) code set.

## From the source

Official description from [CMS](https://www.cms.gov/medicare/coding-billing/icd-10-codes).
ICD-10-CM FY2027 (effective October 1, 2026).

Code set

ICD-10-CM

Category

G89 Pain, not elsewhere classified

Chapter

Diseases of the nervous system

Billable

Yes

Educational reference only. Not medical, legal, or billing advice. Always check the current official code set and payer policy before you bill. [About BillingBrief and our sources](https://billingbrief.com/about/).