2025 ICD-10-CM code G89.3
(Active) Effective Date: N/A Diseases of the nervous system - Other disorders of the nervous system 6 Feed
Neoplasm-related pain (acute) (chronic).
Medical necessity for this code hinges on the presence of a documented neoplasm and its direct relationship to the reported pain.Pain management interventions should aim to improve the patient's comfort and quality of life.
Clinicians diagnosing neoplasm-related pain utilize medical history, physical exams, and imaging (like X-rays) to pinpoint the pain's source and severity. Treatment typically involves pain relief strategies such as analgesics (pain relievers) or nerve blocks to interrupt pain signals.
In simple words: This code is used for pain caused by a tumor, whether it's cancerous or not. It doesn't matter if the pain is new (acute) or ongoing (chronic). The pain might be from the tumor pressing on other things in your body or from chemicals it releases.
This code encompasses pain directly related to neoplasms, whether benign or cancerous, and includes both acute and chronic pain presentations.The pain may result from the tumor compressing surrounding tissues, bones, or nerves, or from the release of chemical mediators by the tumor itself. The severity can vary based on the type, location, and stage of the neoplasm.
Example 1: A patient with newly diagnosed lung cancer experiences sharp, intermittent chest pain due to tumor growth pressing on nerves., A patient with metastatic bone cancer experiences chronic, persistent pain due to tumor involvement in the spine., A patient in remission from breast cancer experiences intermittent, burning pain in their chest wall, possibly related to prior surgery or nerve damage from the initial tumor.
Documentation should clearly link the pain to the presence of a neoplasm, specify the type and location of the tumor, and describe the characteristics of the pain (acute/chronic, location, quality, and severity). If pain management is the primary reason for the encounter, this must also be explicitly documented.
- Payment Status: Active
- Specialties:Oncology, pain management, palliative care, and any specialty managing patients with neoplasms.
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital, Office, Home