D48.19

D48.19: Other specified neoplasm of uncertain behavior of connective and other soft tissue

Billable / specific codeICD-10-CM

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.

Check D48.19 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above D48.19

A category’s note binds every code beneath it.

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

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-)

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

neurofibromatosis (nonmalignant) (Q85.0-)

Risk adjustment

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

Medicare coverage

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

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

Alphabetic index entries that lead here

Myofibromatosis
Tumor›stromal›gastric
Tumor›stromal›gastric›uncertain behavior
Tumor›stromal›gastrointestinal›uncertain behavior
Tumor›stromal›intestine›uncertain behavior
Tumor›stromal›stomach›uncertain behavior

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under D48.1

D48.11Desmoid tumor