G89.3
G89.3: Neoplasm related pain (acute) (chronic)
Billable / specific codeICD-10-CM
G89.3 is a billable, specific ICD-10-CM code for neoplasm related pain (acute) (chronic). It is valid for submission on a claim.
Check G89.3 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Cancer associated pain
- Pain due to malignancy (primary) (secondary)
- Tumor associated pain
Excludes1 inherited from the categories above G89.3
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above G89.3
Not part of this code, but both may be coded when both are present.
Written on G89: Pain, not elsewhere classified
- 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)
- breast pain (N64.4)
- chest pain (R07.1-R07.9)
- ear pain (H92.0-)
- eye pain (H57.1)
- headache (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)
- 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-)
Other codes that can never be billed with G89.3
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
G89.3 is named in 14 Medicare coverage policies: 14 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56034Billing and Coding: Nerve Blockade for Treatment of Chronic Pain and Neuropathy
- A56607Billing and Coding: Continuous Peripheral Nerve Blocks (CPNB)
- A56612Billing and Coding: CT of the Head
- A56651Billing and Coding: Epidural Steroid Injections for Pain Management
Alphabetic index entries that lead here
- Pain›cancer associated(acute) (chronic)
- Pain›due to cancer
- Pain›due to malignancy(primary) (secondary)
- Pain›tumor associated
- Pain›acute›neoplasm related
- Pain›chronic›neoplasm related
Code history
Unchanged in every release from FY2024 to FY2027.