D38.1

D38.1: Neoplasm of uncertain behavior of trachea, bronchus and lung

Billable / specific codeICD-10-CM

D38.1 is a billable, specific ICD-10-CM code for neoplasm of uncertain behavior of trachea, bronchus and lung. It is valid for submission on a claim.

Check D38.1 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above D38.1

A category’s note binds every code beneath it.

Written on D38: Neoplasm of uncertain behavior of middle ear and respiratory and intrathoracic organs

neoplasm of uncertain behavior of heart (D48.7)

Risk adjustment

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

Medicare coverage

D38.1 is named in 20 Medicare coverage policies: 20 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

Alphabetic index entries that lead here

Adenoma›bronchial
Adenomatosis›pulmonary
Tumor›bronchial alveolar, intravascular
Tumor›intravascular bronchial alveolar

Code history

Unchanged in every release from FY2024 to FY2027.