D37.05 — Neoplasm of uncertain behavior of pharynx
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.
Inclusion 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
Other codes that can never be billed with D37.05
These codes carry an Excludes1 note pointing at D37.05. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading D37.05 alone.
- D38.0Neoplasm of uncertain behavior of larynx
Risk adjustment
D37.05 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
D37.05 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 D37.05 is not quite right, the correct code is usually one of these.
Questions about D37.05
- Is D37.05 a billable ICD-10-CM code?
- Yes. D37.05 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D37.05 sit in the tabular list?
- Neoplasms (C00-D49), in the block Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes (D37-D48).