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G89 vs H57.1

G89 (Pain, not elsewhere classified) compared with H57.1 (Ocular pain), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. G89 carries an Excludes2 note covering H57.1: “eye pain (H57.1)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

G89Pain, not elsewhere classifiedH57.1Ocular pain
Billing statusNon-billable header

Report instead: G89.0, G89.11, G89.12, G89.18, G89.21

Non-billable header

Report instead: H57.10, H57.11, H57.12, H57.13

ClassificationG00-G99 — Diseases of the Nervous System (G00-G99)H00-H59 — Diseases of the Eye and Adnexa (H00-H59)
DefinitionPain, not elsewhere classified is a non-billable ICD-10-CM category code (G89).Ocular pain is a non-billable ICD-10-CM category code (H57.1).
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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources