D43
D43: Neoplasm of uncertain behavior of brain and central nervous system
Non-billable headerICD-10-CM
D43 is a non-billable header ICD-10-CM code for neoplasm of uncertain behavior of brain and central nervous system. 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 peripheral nerves and autonomic nervous system (D48.2)
Other codes that can never be billed with D43
Their own Excludes1 notes name this code, so the conflict is not listed above.
- D43.0Neoplasm of uncertain behavior of brain, supratentorial
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 D43
7 child codes. Green means billable.
- D43.0Neoplasm of uncertain behavior of brain, supratentorial
- D43.1Neoplasm of uncertain behavior of brain, infratentorial
- D43.2Neoplasm of uncertain behavior of brain, unspecified
- D43.3Neoplasm of uncertain behavior of cranial nerves
- D43.4Neoplasm of uncertain behavior of spinal cord
- D43.8Neoplasm of uncertain behavior of other specified parts of central nervous system
- D43.9Neoplasm of uncertain behavior of central nervous system, unspecified