D48
D48: Neoplasm of uncertain behavior of other and unspecified sites
Non-billable headerICD-10-CM
D48 is a non-billable header ICD-10-CM code for neoplasm of uncertain behavior of other and unspecified sites. 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.
- neurofibromatosis (nonmalignant) (Q85.0-)
Other codes that can never be billed with D48
Their own Excludes1 notes name this code, so the conflict is not listed above.
- D37.8Neoplasm of uncertain behavior of other specified digestive organs
- D38Neoplasm of uncertain behavior of middle ear and respiratory and intrathoracic organs
- D38.5Neoplasm of uncertain behavior of other respiratory organs
- D48.0Neoplasm of uncertain behavior of bone and articular cartilage
- D48.1Neoplasm of uncertain behavior of connective and other soft tissue
- D48.2Neoplasm of uncertain behavior of peripheral nerves and autonomic nervous system
- D48.6Neoplasm of uncertain behavior of breast
- D48.7Neoplasm of uncertain behavior of other specified sites
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 D48
9 child codes. Green means billable.
- D48.0Neoplasm of uncertain behavior of bone and articular cartilage
- D48.1Neoplasm of uncertain behavior of connective and other soft tissue
- D48.2Neoplasm of uncertain behavior of peripheral nerves and autonomic nervous system
- D48.3Neoplasm of uncertain behavior of retroperitoneum
- D48.4Neoplasm of uncertain behavior of peritoneum
- D48.5Neoplasm of uncertain behavior of skin
- D48.6Neoplasm of uncertain behavior of breast
- D48.7Neoplasm of uncertain behavior of other specified sites
- D48.9Neoplasm of uncertain behavior, unspecified