2027 ICD-10-CM Diagnosis Code G89.3Neoplasm related pain (acute) (chronic)

ICD-10-CM Codes›G00–G99›G89-G99›G89

ICD-10-CM G89.3
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

G89.3 is a billable ICD-10-CM diagnosis code for neoplasm related pain (acute) (chronic). It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 947 through 948. Coders also document this condition as breakthrough cancer pain. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Conditions due to neoplasm or the treatment of neoplasm and Nervous system pain and pain syndromes.

Code Identity

ICD-10-CM Code
G89.3
Billable Status
Yes — Valid for Submission
Code Describes
Neoplasm related pain (acute) (chronic)
Short Description
Neoplasm related pain (acute) (chronic)
Same as the full description in the CMS dataset.
Parent Code
G89
Pain, not elsewhere classified

Code Classification

ChapterG00–G99Diseases of the nervous system
SectionG89-G99Other disorders of the nervous system
CategoryG89Pain, not elsewhere classified
This CodeG89.3Neoplasm related pain (acute) (chronic)

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Breakthrough cancer pain
  • Breakthrough pain
  • Chronic pain due to malignant neoplastic disease
  • Neck pain due to malignant neoplastic disease
  • Pain due to neoplastic disease
  • Pain from metastases

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to G89.3: its own notes plus those printed at G89 and Chapter 6. A note printed at a category, block or chapter applies to every code under it.

Applicable To

Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.

  • Cancer associated pain
  • Pain due to malignancy (primary) (secondary)
  • Tumor associated pain

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From G89 Pain, not elsewhere classified applies to 10 codes
  • generalized pain NOS (R52)
  • pain disorders exclusively related to psychological factors (F45.41)
  • pain NOS (R52)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From G89 Pain, not elsewhere classified applies to 10 codes
From Chapter 6 (G00-G99) Diseases of the nervous system applies to 700 codes
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Code Also

A second code may be needed to fully describe the condition; the note gives no sequencing direction.

From G89 Pain, not elsewhere classified applies to 10 codes
  • related psychological factors associated with pain (F45.42)

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name G89.3, its category, or a range that includes it.

Excludes1 2

These codes carry an Excludes1 note naming G89.3: they are not reported together with it, unless the two conditions are unrelated.

  • G89.2 Chronic pain, not elsewhere classified
    neoplasm related chronic pain (G89.3)
  • R52 Pain, unspecified
    acute and chronic pain, not elsewhere classified (G89.-) names G89.-, which includes this code

Code Also 1

These codes say G89.3 may also be needed to fully describe the condition. The note gives no sequencing direction.

  • F45.42 Pain disorder with related psychological factors
    associated acute or chronic pain (G89.-) names G89.-, which includes this code

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR NEO074
Conditions due to neoplasm or the treatment of neoplasm
Default principal diagnosis: inpatient Yes · outpatient Yes
CCSR NVS019
Nervous system pain and pain syndromes
Default principal diagnosis: inpatient No · outpatient No

Clinical InformationClinical

  • Cancer Pain

    pain that may be caused by or related to cellular, tissue, and systemic changes that occur during neoplasm growth, tissue invasion, and metastasis.

Patient EducationClinical

Cancer--Living with Cancer

Cancer is a common disease. Many Americans will be diagnosed with cancer during their lifetimes. Even though cancer may be life-threatening, many people have successful treatment. Others live with cancer for a very long time.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert G89.3 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
338.3 Neoplasm related pain
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About G89.3Overview

What is the ICD-10 code for neoplasm related pain (acute) (chronic)?

The ICD-10-CM code for neoplasm related pain (acute) (chronic) is G89.3 (sometimes written as G893). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is G89.3 (Pain, not elsewhere classified) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report neoplasm related pain (acute) (chronic) on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does G89.3 group to?

When neoplasm related pain (acute) (chronic) is the principal diagnosis on an inpatient stay, it groups to MS-DRG 948, 947, with relative weights from 0.7833 to 1.2608 depending on complications. Higher weights mean higher Medicare reimbursement.

Can G89.3 be reported with R52?

Not as a rule. The Excludes1 note at G89, which applies to G89.3, lists "generalized pain NOS (R52)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).

What is the ICD-9 equivalent of G89.3?

Under the General Equivalence Mappings, neoplasm related pain (acute) (chronic) converts to ICD-9-CM 338.3 (neoplasm related pain). The mapping is a direct match.