October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

G89 Pain, not elsewhere classified

All 10 codes in the G89 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

10

Can lead a claim

10

Cannot lead a claim

0

What CMS assigns to G89

All 10 codes group to MMTA - Other. None of the 10 is assigned a comorbidity subgroup. Every code can lead a claim.

Every code in G89

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
G89.0Central pain syndromeCan lead a claimANone
G89.1 Acute pain, not elsewhere classified
G89.11Acute pain due to traumaCan lead a claimANone
G89.12Acute post-thoracotomy painCan lead a claimANone
G89.18Other acute postprocedural painCan lead a claimANone
G89.2 Chronic pain, not elsewhere classified
G89.21Chronic pain due to traumaCan lead a claimANone
G89.22Chronic post-thoracotomy painCan lead a claimANone
G89.28Other chronic postprocedural painCan lead a claimANone
G89.29Other chronic painCan lead a claimANone
G89.3Neoplasm related pain (acute) (chronic)Can lead a claimANone
G89.4Chronic pain syndromeCan lead a claimANone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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