D48.19 — Other specified neoplasm of uncertain behavior of connective and other soft tissue
D48.19 is a billable, specific ICD-10-CM code for other specified neoplasm of uncertain behavior of connective and other soft tissue. It is valid for submission on a claim.
Risk adjustment
D48.19 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
D48.19 is named in 23 Medicare coverage policies — 23 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52479Oral Anticancer Drugs - Policy Article
- A52480Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article
- A52986Billing and Coding: Biomarkers for Oncology
- A55717Billing and Coding: Lab: Flow Cytometry
How D48.19 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 D48.19.
- Myofibromatosis
- Tumor›stromal›gastric
- Tumor›stromal›gastric›uncertain behavior
- Tumor›stromal›gastrointestinal›uncertain behavior
- Tumor›stromal›intestine›uncertain behavior
- Tumor›stromal›stomach›uncertain behavior
Related codes at this level
Codes that share D48.1. If D48.19 is not quite right, the correct code is usually one of these.
Questions about D48.19
- Is D48.19 a billable ICD-10-CM code?
- Yes. D48.19 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D48.19 sit in the tabular list?
- Neoplasms (C00-D49), in the block Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes (D37-D48).