D37.0

D37.0: Neoplasm of uncertain behavior of lip, oral cavity and pharynx

Non-billable headerICD-10-CM

D37.0 is a non-billable header ICD-10-CM code for neoplasm of uncertain behavior of lip, oral cavity and pharynx. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

neoplasm of uncertain behavior of aryepiglottic fold or interarytenoid fold, laryngeal aspect (D38.0)
neoplasm of uncertain behavior of epiglottis NOS (D38.0)
neoplasm of uncertain behavior of skin of lip (D48.5)
neoplasm of uncertain behavior of suprahyoid portion of epiglottis (D38.0)

Excludes1 inherited from the categories above D37.0

A category’s note binds every code beneath it.

Written on D37: Neoplasm of uncertain behavior of oral cavity and digestive organs

stromal tumors of uncertain behavior of digestive system (D48.1-)

Other codes that can never be billed with D37.0

Their own Excludes1 notes name this code, so the conflict is not listed above.

D38.0Neoplasm of uncertain behavior of larynx
D48.5Neoplasm of uncertain behavior of skin

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead D37.0

6 child codes. Green means billable.