D37.3
D37.3 — Neoplasm of uncertain behavior of appendix
Billable / specific codeICD-10-CM
D37.3 is a billable, specific ICD-10-CM code for neoplasm of uncertain behavior of appendix. It is valid for submission on a claim.
Risk adjustment
D37.3 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
D37.3 is named in 30 Medicare coverage policies — 30 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. If D37.3 is not quite right, the correct code is usually one of these.
- D37.0Neoplasm of uncertain behavior of lip, oral cavity and pharynx
- D37.1Neoplasm of uncertain behavior of stomach
- D37.2Neoplasm of uncertain behavior of small intestine
- D37.4Neoplasm of uncertain behavior of colon
- D37.5Neoplasm of uncertain behavior of rectum
- D37.6Neoplasm of uncertain behavior of liver, gallbladder and bile ducts
- D37.8Neoplasm of uncertain behavior of other specified digestive organs
- D37.9Neoplasm of uncertain behavior of digestive organ, unspecified
Questions about D37.3
- Is D37.3 a billable ICD-10-CM code?
- Yes. D37.3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D37.3 sit in the tabular list?
- Neoplasms (C00-D49), in the block Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes (D37-D48).