What is ICD-10 code G89.3?

G89.3 is the ICD-10-CM diagnosis code for Neoplasm related pain (acute) (chronic). Pain caused by cancer or a malignant tumor, which can be either short-term (acute) or long-term (chronic). It belongs to the ICD-10-CM chapter for diseases of the nervous system (g00-g99). G89.3 is a billable code, meaning it can be reported on a claim as a primary or secondary diagnosis when supported by documentation. G89.3 is part of the FY2026 ICD-10-CM code set published by the CMS National Center for Health Statistics and used on Medicare, Medicaid, and commercial claims in the United States.

Yes. G89.3 is a billable ICD-10-CM code that can be reported on professional and institutional claims as a primary or secondary diagnosis when the provider documentation supports the specific condition described. Billable codes in ICD-10-CM are coded to the highest level of specificity available for the documented diagnosis. G89.3 is current for fiscal year 2026 and remains in the active CMS ICD-10-CM code set published by the National Center for Health Statistics.

Which HCC does G89.3 map to under V28?

G89.3 has no payable CMS-HCC V28 mapping in the final FY2026 CMS file.

What RAF reference is published for G89.3?

G89.3 has no V28 reference coefficient because the final FY2026 source verifies no payable V28 mapping.

What is the V28 vs V24 difference for G89.3?

G89.3 has verified no payable V28 mapping in the final FY2026 source. Select a historical effective period before making any V24 comparison.

2026 ICD-10-CM G89.3: Neoplasm related pain (acute)

G89.3 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · free HCC coding tools

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Code lookupG89.3

Effective periodFY2026 Apr Update (Apr 1-Sep 30)

FY 2026 Apr update / Diseases of the nervous system (G00-G99) / Other disorders of the nervous system (G89-G99)

G89.3

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Neoplasm related pain (acute) (chronic)

Pain caused by cancer or a malignant tumor, which can be either short-term (acute) or long-term (chronic).

Overview Risk Models Code Book Documentation Audit Notes Edition comparison

CMS-HCC V28

N/A

—

Not risk-adjusted for this model/period.

Not mapped

CMS-HCC V24

Historical

Not used for standard CY2026 Medicare Advantage payment. Select a historical period to review V24.

Not used for CY2026 payment

ACA/HHS

N/A

—

Not risk-adjusted for this model/period.

Not mapped

ESRD/PACE

N/A

—

Not risk-adjusted for this model/period.

Not mapped

RXHCC

N/A

—

Not risk-adjusted for this model/period.

Not mapped

Code Book Path

Official

G89Pain, not elsewhere classified G89.3Neoplasm related pain (acute) (chronic)

Inclusion Terms

Official

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

Excludes 2

Official

certain conditions originating in the perinatal period (P04-P96)Inherited from G00-G99, G89
certain infectious and parasitic diseases (A00-B99)Inherited from G00-G99, G89
complications of pregnancy, childbirth and the puerperium (O00-O9A)Inherited from G00-G99, G89
congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)Inherited from G00-G99, G89
endocrine, nutritional and metabolic diseases (E00-E88)Inherited from G00-G99, G89
injury, poisoning and certain other consequences of external causes (S00-T88)Inherited from G00-G99, G89
neoplasms (C00-D49)Inherited from G00-G99, G89
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)Inherited from G00-G99, G89
atypical face pain (G50.1)Inherited from G00-G99, G89
headache syndromes (G44.-)Inherited from G00-G99, G89
localized pain, unspecified type - code to pain by site, such as:Inherited from G00-G99, G89
abdomen pain (R10.-)Inherited from G00-G99, G89
back pain (M54.9)Inherited from G00-G99, G89
breast pain (N64.4)Inherited from G00-G99, G89
chest pain (R07.1-R07.9)Inherited from G00-G99, G89
ear pain (H92.0-)Inherited from G00-G99, G89
eye pain (H57.1)Inherited from G00-G99, G89
headache (R51.9)Inherited from G00-G99, G89
joint pain (M25.5-)Inherited from G00-G99, G89
limb pain (M79.6-)Inherited from G00-G99, G89
lumbar region pain (M54.5-)Inherited from G00-G99, G89
painful urination (R30.9)Inherited from G00-G99, G89
pelvic and perineal pain (R10.2-)Inherited from G00-G99, G89
shoulder pain (M25.51-)Inherited from G00-G99, G89
spine pain (M54.-)Inherited from G00-G99, G89
throat pain (R07.0)Inherited from G00-G99, G89
tongue pain (K14.6)Inherited from G00-G99, G89
tooth pain (K08.8)Inherited from G00-G99, G89
renal colic (N23)Inherited from G00-G99, G89
migraines (G43.-)Inherited from G00-G99, G89
myalgia (M79.1-)Inherited from G00-G99, G89
pain from prosthetic devices, implants, and grafts (T82.84, T83.84, T84.84, T85.84-)Inherited from G00-G99, G89
phantom limb syndrome with pain (G54.6)Inherited from G00-G99, G89
vulvar vestibulitis (N94.810)Inherited from G00-G99, G89
vulvodynia (N94.81-)Inherited from G00-G99, G89

Related Codes

Official

G89.0Central pain syndrome G89.1Acute pain, not elsewhere classified G89.2Chronic pain, not elsewhere classified G89.4Chronic pain syndrome

Includes

Official

No Includes notes are included in this display for G89.3. Check the code and parent instructions in the Code Book.

Excludes 1

Official

generalized pain NOS (R52)Inherited from G89
pain disorders exclusively related to psychological factors (F45.41)Inherited from G89
pain NOS (R52)Inherited from G89

Code First

Official

No Code First sequencing instructions are included in this display for G89.3. Check the code and parent instructions in the Code Book.

Use Additional

Official

No Use Additional Code instructions are included in this display for G89.3. Check the code and parent instructions in the Code Book.

Code Also

Official

related psychological factors associated with pain (F45.42)Inherited from G89

Buddy Documentation Tip

HCC Buddy guidance

Always code the underlying neoplasm first, then use this code as a secondary diagnosis to indicate pain is a significant symptom

Specify whether the pain is acute or chronic in documentation; this single code encompasses both timeframes

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Is G89.3 an HCC code?

No. G89.3 is a billable ICD-10-CM code with no mapping under the CMS-HCC V28 or V24 community payment models, and none under the ESRD, Part D RxHCC, or HHS-HCC models.

Code: G89.3
Description: Neoplasm related pain (acute) (chronic)
HCC (V28): No CMS-HCC V28 mapping
RAF reference coefficient: —
Billable: Yes
Payment year: 2026

Coder workflow notes

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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

G89.3 is the ICD-10-CM diagnosis code for neoplasm related pain (acute) (chronic). Pain caused by cancer or a malignant tumor, which can be either short-term (acute) or long-term (chronic). G89.3 sits in the ICD-10-CM chapter for diseases of the nervous system (g00-g99), within the section covering other disorders of the nervous system (g89-g99).

G89.3 is a billable ICD-10-CM code, but the current payload does not show a mapping under the CMS-HCC V28 or V24 community payment models, and none under the ESRD, Part D RxHCC, or HHS-HCC models. Do not assign risk adjustment value from this page when no source-backed mapping is shown; verify the applicable model and payment year.

Always code the underlying neoplasm first, then use this code as a secondary diagnosis to indicate pain is a significant symptom.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for G89.3 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

•Always code the underlying neoplasm first, then use this code as a secondary diagnosis to indicate pain is a significant symptom
•Specify whether the pain is acute or chronic in documentation; this single code encompasses both timeframes