G89.3
Neoplasm related pain (acute) (chronic)
G89.3 (also written G893) is a billable ICD-10-CM diagnosis code for neoplasm related pain (acute) (chronic). It is part of the FY2027 code set, effective October 1, 2026. It is one of the 10 codes in category G89 (Pain, not elsewhere classified). The Alphabetic Index lists it under 6 entries. Its coding notes include a Code also instruction, 3 Excludes1 entries and 35 Excludes2 entries.
Guidelines tips
From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.
G89 is for pain specified as acute, chronic, post-thoracotomy, postprocedural or neoplasm-related. It is not assigned when the underlying diagnosis is known, unless the encounter is for pain control.
G89.3 is assigned for pain documented as related to cancer or a tumor, whether acute or chronic, and no separate code is needed for the site of the pain.
Code also
Two codes may be needed to describe the condition. This note gives no sequencing order.
Excludes1
Not coded here. The listed conditions generally should not be reported together.
Excludes2
Not included here. Both codes may be reported if the patient has both conditions.
- 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-)
Also from chapter/block level (8 notes)
- 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)
Care settings
How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.
Home Health Primary
Accepted as the primary (principal) diagnosis on a home health claim. The Home Health Grouper assigns it to the MMTA - Other clinical group.
Source: CMS Home Health Grouper Software v07.2.26, effective October 1, 2026IPF Primary
IPF MS-DRG adjustment. A principal diagnosis of this code groups to one of these MS-DRGs. Which one depends on other facts of the stay, so the factor is a range:
| MS-DRG | Description | Factor |
|---|---|---|
| 947 | Signs and Symptoms w MCC | 1.12 |
| 948 | Signs and Symptoms w/out MCC | 1.09 |
Inclusion terms
Conditions classified to this code.
- Cancer associated pain
- Pain due to malignancy (primary) (secondary)
- Tumor associated pain
Alphabetic Index terms
Terms the official Alphabetic Index lists for this code. 6 entries