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Compare/G89 vs M25.5

G89 vs M25.5

G89 (Pain, not elsewhere classified) compared with M25.5 (Pain in joint), 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 M25.5: “joint pain (M25.5-)”

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

Side by side

G89Pain, not elsewhere classifiedM25.5Pain in joint
Billing statusNon-billable header

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

Non-billable header

Report instead: M25.50, M25.511, M25.512, M25.519, M25.521

ClassificationG00-G99 — Diseases of the Nervous System (G00-G99)M00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)
DefinitionPain, not elsewhere classified is a non-billable ICD-10-CM category code (G89).Pain in joint is a non-billable ICD-10-CM category code (M25.5).
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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