D38
D38: Neoplasm of uncertain behavior of middle ear and respiratory and intrathoracic organs
Non-billable headerICD-10-CM
D38 is a non-billable header ICD-10-CM code for neoplasm of uncertain behavior of middle ear and respiratory and intrathoracic organs. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- neoplasm of uncertain behavior of heart (D48.7)
Other codes that can never be billed with D38
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead D38
7 child codes. Green means billable.
- D38.0Neoplasm of uncertain behavior of larynx
- D38.1Neoplasm of uncertain behavior of trachea, bronchus and lung
- D38.2Neoplasm of uncertain behavior of pleura
- D38.3Neoplasm of uncertain behavior of mediastinum
- D38.4Neoplasm of uncertain behavior of thymus
- D38.5Neoplasm of uncertain behavior of other respiratory organs
- D38.6Neoplasm of uncertain behavior of respiratory organ, unspecified