D37.01
D37.01 — Neoplasm of uncertain behavior of lip
Billable / specific codeICD-10-CM
D37.01 is a billable, specific ICD-10-CM code for neoplasm of uncertain behavior of lip. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Neoplasm of uncertain behavior of vermilion border of lip
Risk adjustment
D37.01 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.
Medicare coverage
D37.01 is named in 23 Medicare coverage policies — 23 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
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Related codes at this level
Codes that share D37.0. If D37.01 is not quite right, the correct code is usually one of these.
- D37.02Neoplasm of uncertain behavior of tongue
- D37.03Neoplasm of uncertain behavior of the major salivary glands
- D37.04Neoplasm of uncertain behavior of the minor salivary glands
- D37.05Neoplasm of uncertain behavior of pharynx
- D37.09Neoplasm of uncertain behavior of other specified sites of the oral cavity
Questions about D37.01
- Is D37.01 a billable ICD-10-CM code?
- Yes. D37.01 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D37.01 sit in the tabular list?
- Neoplasms (C00-D49), in the block Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes (D37-D48).