Is D38.3 a billable ICD-10-CM code?

Yes. D38.3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does D38.3 sit in the tabular list?

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

D38.3

D38.3 — Neoplasm of uncertain behavior of mediastinum

Billable / specific codeICD-10-CM

D38.3 is a billable, specific ICD-10-CM code for neoplasm of uncertain behavior of mediastinum. It is valid for submission on a claim.

Risk adjustment

D38.3 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

D38.3 is named in 22 Medicare coverage policies — 22 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 D38. If D38.3 is not quite right, the correct code is usually one of these.

Questions about D38.3

Is D38.3 a billable ICD-10-CM code?: Yes. D38.3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does D38.3 sit in the tabular list?: Neoplasms (C00-D49), in the block Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes (D37-D48).