D48.0

D48.0: Neoplasm of uncertain behavior of bone and articular cartilage

Billable / specific codeICD-10-CM

D48.0 is a billable, specific ICD-10-CM code for neoplasm of uncertain behavior of bone and articular cartilage. It is valid for submission on a claim.

Check D48.0 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

neoplasm of uncertain behavior of cartilage of ear (D48.1-)
neoplasm of uncertain behavior of cartilage of larynx (D38.0)
neoplasm of uncertain behavior of cartilage of nose (D38.5)
neoplasm of uncertain behavior of connective tissue of eyelid (D48.1-)
neoplasm of uncertain behavior of synovia (D48.1-)

Excludes1 inherited from the categories above D48.0

A category’s note binds every code beneath it.

Written on D48: Neoplasm of uncertain behavior of other and unspecified sites

neurofibromatosis (nonmalignant) (Q85.0-)

Other codes that can never be billed with D48.0

Their own Excludes1 notes name this code, so the conflict is not listed above.

D48.1Neoplasm of uncertain behavior of connective and other soft tissue

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

D48.0 is named in 19 Medicare coverage policies: 19 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

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