Is D37.6 a billable ICD-10-CM code?

Yes. D37.6 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does D37.6 sit in the tabular list?

Neoplasms (C00-D49), in the block Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes (D37-D48).

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.

Inclusion terms

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

Neoplasm of uncertain behavior of ampulla of Vater

Risk adjustment

D37.6 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

D37.6 is named in 23 Medicare coverage policies — 23 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

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

Related codes at this level

Codes that share D37. If D37.6 is not quite right, the correct code is usually one of these.

Questions about D37.6

Is D37.6 a billable ICD-10-CM code?: Yes. D37.6 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does D37.6 sit in the tabular list?: Neoplasms (C00-D49), in the block Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes (D37-D48).