Is D37.03 a billable ICD-10-CM code?

No. D37.03 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does D37.03 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 D37.03?

D37.03 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above D37.03 (D37.0, D37) and apply to it just the same.

D37.03

D37.03 — Neoplasm of uncertain behavior of the major salivary glands

Non-billable headerICD-10-CM

D37.03 is a non-billable header ICD-10-CM code for neoplasm of uncertain behavior of the major salivary glands. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 inherited from the categories above D37.03

These are not written on D37.03, but they bind it: a note on a category applies to every code beneath it. Billing D37.03 with anything listed here is a denial.

Written on D37.0 — Neoplasm of uncertain behavior of lip, oral cavity and pharynx

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)

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

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

Risk adjustment

D37.03 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 history

D37.03 has not changed since FY2024 — no addition, revision or deletion across the FY2024–FY2027 ICD-10-CM releases.

Code to one of these instead D37.03

4 child codes. Green means billable.

Related codes at this level

Codes that share D37.0. If D37.03 is not quite right, the correct code is usually one of these.

Questions about D37.03

Is D37.03 a billable ICD-10-CM code?: No. D37.03 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does D37.03 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 D37.03?: D37.03 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above D37.03 (D37.0, D37) and apply to it just the same.