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Cancer Pain ICD 10 Code
Refresher: What are ICD-10 Codes?
ICD-10 stands for the International Classification of Diseases, 10th revision. It is a coding system used in healthcare to systematically classify diagnoses, procedures, and symptoms. CM indicates “Clinical Modification,” and is used in the U.S. for disease diagnoses (ICD-10-CM). ICD-10-PCS codes are used for coding procedures in inpatient settings. Both of these coding systems are used for medical claims and statistics purposes.
In general, ICD-10 codes are different for primary tumors (“malignant neoplasms”) and secondary or metastasized tumors (“secondary malignant neoplasms”).
The International Classification of Diseases was developed in the 1850s as a system to standardize medical records and data using a single coding system. The ICD-10 (10th edition) began in 1983, with the World Health Organization managing the official list of codes. Countries that have adopted the ICD-10 have modified them based on their specific healthcare system requirements.
The U.S. version of the ICD-10 was constructed in collaboration with the National Center for Health Statistics (NCHS) and the Centers for Medicare & Medicaid Services (CMS). The code consists of two sets of medical codes the ICD-10-PCS and the ICD-10-CM. The former is mainly used for coding procedures used in inpatient settings, while the latter is used for disease diagnosis.
The coding systems are used for statistical purposes as well as for processing medical claims. "ICD" denotes the International Classification of Diseases, while the numerical figure "10" denotes the edition (the classification is currently in its 10th edition). ICD-10 codes are different for primary tumors (malignant neoplasms) and secondary or metastasized tumors (secondary malignant neoplasms).[1]
Currently, there are over 70,000 ICD-10-PCS codes and around 68,000 ICD-10-CM codes used for defining malignant neoplasms.[2]
What is the ICD 10 Code for Cancer Pain?
ICD10 Code G89.3 is a billable code that is used to indicate a diagnosis for purposes of reimbursements. G62.82 is the ICD 10 code for Radiation-induced polyneuropathy. This is the medical classification as listed by the WHO and can be found under the range - Diseases of the nervous system. [2] Peripheral neuropathy can result from cancer. This pain can radiate from any part of the body where the cancerous tumor is located.
Peripheral nerves are used to send sensory data to the body's central nervous system. For instance, when your feet or hands are cold (or warm). The peripheral nerves are also used to carry signals from the central nervous system as well. These signals are sent to all parts of the body, mainly the muscles, which is the reason we can move around. Some of the symptoms of peripheral neuropathy include numbness, tingling, a burning sensation, cramps, discomfort, and pain.
Cancer pain is not experienced by all cancer patients, but some do. Your likelihood of experiencing discomfort is increased if your cancer has spread or returned.
Different types of cancer pain exist. It could be achy, scorching, dull, or acute. It might be mild, moderate, severe, intermittent, or persistent. The sort of cancer you have, its stage of development, its location, as well as your level of pain tolerance all affect how much pain you experience. The majority of cancer patients can control their pain, making it a crucial component of their therapy. G89.3 is an ICD10 code that's used for reimbursement purposes. The code applies to cancer associated pain, tumor-associated pain, and pain due to primary or secondary malignancy.[3]
Cancer Staging:
- /0 – The tumor is benign.
- /1 – It is not known for sure whether the tumor is benign or malignant.
- /2 – Early form of cancer
- /3 – It is cancer.
- /6 – It is a metastasis.
- /9 – It is either cancer or metastasis. The cells in the affected tissue are altered and multiply uncontrollably.
Primary Cancer ICD Code Lookup
Below is a table of the ICD 10 cancer codes for primary (malignant neoplasms) [4];
Types of cancer Pain coded under G89.3
The ICD 10 code G89.3 does not specify the subtype of cancer pain. A G89.3 code can be used for primary pain in cancers of various cell types:
The pain that is experienced due to cancer can take on multiple forms, from sharp and stabbing pain to dull and burning sensations. It can either be mild, moderate or severe, intermittent, or constant. The severity of the pain that an individual feels depends on multiple factors, such as the advancement of the cancer (cancer stage) and the location.
Cancer Pain Excluded from ICD-10 G89.3
The type of cancer pain covered by ICD-10 G89.3 includes nerve pain, bone pain, referred pain, and tissue pain. Phantom pain has been excluded from the G89.3 coding.
Secondary and Metastatic Cancer ICD 10 Code: G89.3
Under ICD 10 Code G89.3, secondary and metastatic cancer can cause persistent and dull pain that may be accompanied by tenderness and swelling. Any pain that lasts for more than two weeks should be shown to the doctor. The ICD 10 Code G89.3 is used to classify both chronic and acute pain that is caused by the secondary or primary site of the tumor. This also includes bone metastases.
Secondary or metastatic Cancer Pain ICD-10 code G89.3 lookup
The G89.3 in the ICD-10-CM code is used for reimbursement purposes and came into effect in October of 2022. This code is valid for the fiscal year of 2023 for all HIPPA-covered transactions.
Conclusion
Cancer is a genetic disease that is treatable, provided the cancer is caught in its early stages. It is caused by changes to the genes which control the way cells function and, mainly, how they multiply. [5]The genetic changes which occur in cancer are due to errors while the cells multiply, which can ultimately lead to mild or severe pain depending on the cancer's progression and its location.