D37.8

D37.8: Neoplasm of uncertain behavior of other specified digestive organs

Billable / specific codeICD-10-CM

D37.8 is a billable, specific ICD-10-CM code for neoplasm of uncertain behavior of other specified digestive organs. It is valid for submission on a claim.

Check D37.8 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

neoplasm of uncertain behavior of anal margin (D48.5)
neoplasm of uncertain behavior of anal skin (D48.5)
neoplasm of uncertain behavior of perianal skin (D48.5)

Inclusion terms

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

Neoplasm of uncertain behavior of anal canal
Neoplasm of uncertain behavior of anal sphincter
Neoplasm of uncertain behavior of anus NOS
Neoplasm of uncertain behavior of esophagus
Neoplasm of uncertain behavior of intestine NOS
Neoplasm of uncertain behavior of pancreas

Excludes1 inherited from the categories above D37.8

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-)

Other codes that can never be billed with D37.8

Their own Excludes1 notes name this code, so the conflict is not listed above.

D48.5Neoplasm of uncertain behavior of skin
D44Neoplasm of uncertain behavior of endocrine glands

Risk adjustment

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

Medicare coverage

D37.8 is named in 26 Medicare coverage policies: 26 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
A53101Billing and Coding: MolDX: bioTheranostics Cancer TYPE ID® Update

Alphabetic index entries that lead here

Glucagonoma›pancreas›uncertain behavior
Glucagonoma›unspecified site›uncertain behavior
Insulinoma›pancreas›uncertain behavior
Insulinoma›unspecified site›uncertain behavior
Tumor›G cell›unspecified site

Code history

Unchanged in every release from FY2024 to FY2027.