D48.115 — Desmoid tumor of upper extremity and shoulder girdle
D48.115 is a billable, specific ICD-10-CM code for desmoid tumor of upper extremity and shoulder girdle. It is valid for submission on a claim.
Risk adjustment
D48.115 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
D48.115 is named in 19 Medicare coverage policies — 19 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
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How D48.115 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 D48.115.
- Desmoid›shoulder girdle
- Desmoid›extremity›upper
Related codes at this level
Codes that share D48.11. If D48.115 is not quite right, the correct code is usually one of these.
- D48.110Desmoid tumor of head and neck
- D48.111Desmoid tumor of chest wall
- D48.112Desmoid tumor, intrathoracic
- D48.113Desmoid tumor of abdominal wall
- D48.114Desmoid tumor, intraabdominal
- D48.116Desmoid tumor of lower extremity and pelvic girdle
- D48.117Desmoid tumor of back
- D48.118Desmoid tumor of other site
- D48.119Desmoid tumor of unspecified site
Questions about D48.115
- Is D48.115 a billable ICD-10-CM code?
- Yes. D48.115 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D48.115 sit in the tabular list?
- Neoplasms (C00-D49), in the block Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes (D37-D48).