D37.6

D37.6: Neoplasm of uncertain behavior of liver, gallbladder and bile ducts

Billable / specific codeICD-10-CM

D37.6 is a billable, specific ICD-10-CM code for neoplasm of uncertain behavior of liver, gallbladder and bile ducts. It is valid for submission on a claim.

Check D37.6 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Neoplasm of uncertain behavior of ampulla of Vater

Excludes1 inherited from the categories above D37.6

A category’s note binds every code beneath it.

Written on D37: Neoplasm of uncertain behavior of oral cavity and digestive organs

stromal tumors of uncertain behavior of digestive system (D48.1-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

D37.6 is named in 21 Medicare coverage policies: 21 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52480Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article
A53101Billing and Coding: MolDX: bioTheranostics Cancer TYPE ID® Update
A54188Billing and Coding: MolDX: bioTheranostics Cancer TYPE ID®
A54386Billing and Coding: MolDX: bioTheranostics Cancer TYPE ID® Update

Code history

Unchanged in every release from FY2024 to FY2027.