D38.2
D38.2 — Neoplasm of uncertain behavior of pleura
Billable / specific codeICD-10-CM
D38.2 is a billable, specific ICD-10-CM code for neoplasm of uncertain behavior of pleura. It is valid for submission on a claim.
Risk adjustment
D38.2 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
D38.2 is named in 18 Medicare coverage policies — 18 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
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Related codes at this level
Codes that share D38. If D38.2 is not quite right, the correct code is usually one of these.
- D38.0Neoplasm of uncertain behavior of larynx
- D38.1Neoplasm of uncertain behavior of trachea, bronchus and lung
- 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
Questions about D38.2
- Is D38.2 a billable ICD-10-CM code?
- Yes. D38.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D38.2 sit in the tabular list?
- Neoplasms (C00-D49), in the block Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes (D37-D48).