D48.1

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

Non-billable headerICD-10-CM

D48.1 is a non-billable header ICD-10-CM code for neoplasm of uncertain behavior of connective and other soft tissue. 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 articular cartilage (D48.0)
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 breast (D48.6-)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Neoplasm of uncertain behavior of connective tissue of ear
Neoplasm of uncertain behavior of connective tissue of eyelid
Stromal tumors of uncertain behavior of digestive system

Excludes1 inherited from the categories above D48.1

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 D48.1

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

D48.0Neoplasm of uncertain behavior of bone and articular cartilage
D48.7Neoplasm of uncertain behavior of other specified sites
D37Neoplasm of uncertain behavior of oral cavity and digestive organs

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 D48.1

2 child codes. Green means billable.