2026 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 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

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 2026 (October 1, 2025 through September 30, 2026) 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

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

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

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Pain(s)
      • acute
        • neoplasm related
    • Pain(s)
      • cancer associated (acute) (chronic)
    • Pain(s)
      • chronic
        • neoplasm related
    • Pain(s)
      • due to cancer
    • Pain(s)
      • due to malignancy (primary) (secondary)
    • Pain(s)
      • tumor associated

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

  • Breakthrough Pain

    acute pain that comes on rapidly despite the use of pain medication.

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 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About G89.3Overview

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, 2025 through September 30, 2026.

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 947, 948, with relative weights from 0.8005 to 1.2694 depending on complications. Higher weights mean higher Medicare reimbursement.

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.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.