D44.5: Neoplasm of uncertain behavior of pineal gland
D44.5 is a billable, specific ICD-10-CM code for neoplasm of uncertain behavior of pineal gland. It is valid for submission on a claim.
Check D44.5 with the rest of the claim: free scrubberExcludes1 inherited from the categories above D44.5
A category’s note binds every code beneath it.
Written on D44: Neoplasm of uncertain behavior of endocrine glands
Risk adjustment
D44.5 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 23 Prostate, Breast, and Other Cancers and Tumors0.186 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
D44.5 is named in 28 Medicare coverage policies: 28 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52480Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article
- A55315Billing and Coding: Proton Beam Therapy
- A56462Billing and Coding: Erythropoiesis Stimulating Agents (ESA)
- A56464Billing and Coding: Flow Cytometry
Alphabetic index entries that lead here
- Pinealoma
- Pineocytoma
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under D44
- D44.0Neoplasm of uncertain behavior of thyroid gland
- D44.1Neoplasm of uncertain behavior of adrenal gland
- D44.2Neoplasm of uncertain behavior of parathyroid gland
- D44.3Neoplasm of uncertain behavior of pituitary gland
- D44.4Neoplasm of uncertain behavior of craniopharyngeal duct
- D44.6Neoplasm of uncertain behavior of carotid body
- D44.7Neoplasm of uncertain behavior of aortic body and other paraganglia
- D44.9Neoplasm of uncertain behavior of unspecified endocrine gland