D37.05
D37.05: Neoplasm of uncertain behavior of pharynx
Billable / specific codeICD-10-CM
D37.05 is a billable, specific ICD-10-CM code for neoplasm of uncertain behavior of pharynx. It is valid for submission on a claim.
Check D37.05 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Neoplasm of uncertain behavior of aryepiglottic fold of pharynx NOS
- Neoplasm of uncertain behavior of hypopharyngeal aspect of aryepiglottic fold of pharynx
- Neoplasm of uncertain behavior of marginal zone of aryepiglottic fold of pharynx
Excludes1 inherited from the categories above D37.05
A category’s note binds every code beneath it.
Written on D37.0: Neoplasm of uncertain behavior of lip, oral cavity and pharynx
Other codes that can never be billed with D37.05
Their own Excludes1 notes name this code, so the conflict is not listed above.
- D38.0Neoplasm of uncertain behavior of larynx
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
D37.05 is named in 19 Medicare coverage policies: 19 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
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- A52480Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article
- A55717Billing and Coding: Lab: Flow Cytometry
Code history
Unchanged in every release from FY2024 to FY2027.