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.
Check D37.09 with the rest of the claim: free scrubberExcludes1 inherited from the categories above D37.09
A category’s note binds every code beneath it.
Written on D37.0: Neoplasm of uncertain behavior of lip, oral cavity and pharynx
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
D37.09 is named in 16 Medicare coverage policies: 16 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- 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)
Code history
Unchanged in every release from FY2024 to FY2027.