D37.04
D37.04 — Neoplasm of uncertain behavior of the minor salivary glands
Billable / specific codeICD-10-CM
D37.04 is a billable, specific ICD-10-CM code for neoplasm of uncertain behavior of the minor salivary glands. 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 submucosal salivary glands of lip
- Neoplasm of uncertain behavior of submucosal salivary glands of cheek
- Neoplasm of uncertain behavior of submucosal salivary glands of hard palate
- Neoplasm of uncertain behavior of submucosal salivary glands of soft palate
Risk adjustment
D37.04 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
D37.04 is named in 21 Medicare coverage policies — 21 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 D37.04 is not quite right, the correct code is usually one of these.
Questions about D37.04
- Is D37.04 a billable ICD-10-CM code?
- Yes. D37.04 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D37.04 sit in the tabular list?
- Neoplasms (C00-D49), in the block Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes (D37-D48).