D47.2 — Monoclonal gammopathy
D47.2 is a billable, specific ICD-10-CM code for monoclonal gammopathy. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Monoclonal gammopathy of undetermined significance [MGUS]
Other codes that can never be billed with D47.2
These codes carry an Excludes1 note pointing at D47.2. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading D47.2 alone.
Risk adjustment
D47.2 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
D47.2 is named in 5 Medicare coverage policies — 5 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A55717Billing and Coding: Lab: Flow Cytometry
- A56464Billing and Coding: Flow Cytometry
- A57689Billing and Coding: Lab: Flow Cytometry
- A58921Billing and Coding: Mass Spectrometry (MS) Testing in Monoclonal Gammopathy (MG)
How D47.2 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to D47.2.
- Gammopathy(of undetermined significance [MGUS])
- Gammopathy›associated with lymphoplasmacytic dyscrasia
- Gammopathy›monoclonal
- Macroglobulinemia›monoclonal(essential)
- Paraproteinemia›monoclonal
- Paraproteinemia›secondary to malignant disease
- Syndrome›Schnitzler
Related codes at this level
Codes that share D47. If D47.2 is not quite right, the correct code is usually one of these.
- D47.0Mast cell neoplasms of uncertain behavior
- D47.1Chronic myeloproliferative disease
- D47.3Essential (hemorrhagic) thrombocythemia
- D47.4Osteomyelofibrosis
- D47.ZOther specified neoplasms of uncertain behavior of lymphoid, hematopoietic and related tissue
- D47.9Neoplasm of uncertain behavior of lymphoid, hematopoietic and related tissue, unspecified
Questions about D47.2
- Is D47.2 a billable ICD-10-CM code?
- Yes. D47.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D47.2 sit in the tabular list?
- Neoplasms (C00-D49), in the block Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes (D37-D48).