Is D37.0 a billable ICD-10-CM code?

No. D37.0 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does D37.0 sit in the tabular list?

Neoplasms (C00-D49), in the block Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes (D37-D48).

What cannot be coded together with D37.0?

D37.0 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

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)

Other codes that can never be billed with D37.0

These codes carry an Excludes1 note pointing at D37.0. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading D37.0 alone.

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

Risk adjustment

D37.0 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead D37.0

6 child codes. Green means billable.

Related codes at this level

Codes that share D37. If D37.0 is not quite right, the correct code is usually one of these.

Questions about D37.0

Is D37.0 a billable ICD-10-CM code?: No. D37.0 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does D37.0 sit in the tabular list?: Neoplasms (C00-D49), in the block Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes (D37-D48).
What cannot be coded together with D37.0?: D37.0 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.