F45.41 vs G89
F45.41 (Pain disorder exclusively related to psychological factors) compared with G89 (Pain, not elsewhere classified), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. G89 carries an Excludes1 note covering F45.41: “pain disorders exclusively related to psychological factors (F45.41)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| F45.41Pain disorder exclusively related to psychological factors | G89Pain, not elsewhere classified | |
|---|---|---|
| Billing status | Billable | Non-billable header |
| Classification | F01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99) | G00-G99 — Diseases of the Nervous System (G00-G99) |
| Definition | Pain disorder exclusively related to psychological factors is a billable ICD-10-CM diagnosis code (F45.41). | Pain, not elsewhere classified is a non-billable ICD-10-CM category code (G89). |
| Includes | Somatoform pain disorder (persistent) | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources