D37.09
D37.09 — Neoplasm of uncertain behavior of other specified sites of the oral cavity
Billable / specific codeICD-10-CM
D37.09 is a billable, specific ICD-10-CM code for neoplasm of uncertain behavior of other specified sites of the oral cavity. It is valid for submission on a claim.
Risk adjustment
D37.09 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
D37.09 is named in 18 Medicare coverage policies — 18 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52450Billing and Coding: Paclitaxel (e.g., Taxol®/Abraxane ™)
- A52479Oral Anticancer Drugs - Policy Article
- A52480Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article
- A56462Billing and Coding: Erythropoiesis Stimulating Agents (ESA)
Related codes at this level
Codes that share D37.0. If D37.09 is not quite right, the correct code is usually one of these.
Questions about D37.09
- Is D37.09 a billable ICD-10-CM code?
- Yes. D37.09 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D37.09 sit in the tabular list?
- Neoplasms (C00-D49), in the block Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes (D37-D48).