Is D48.4 a billable ICD-10-CM code?

Yes. D48.4 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does D48.4 sit in the tabular list?

Neoplasms (C00-D49), in the block Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes (D37-D48).

D48.4

D48.4 — Neoplasm of uncertain behavior of peritoneum

Billable / specific codeICD-10-CM

D48.4 is a billable, specific ICD-10-CM code for neoplasm of uncertain behavior of peritoneum. It is valid for submission on a claim.

Risk adjustment

D48.4 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

D48.4 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.

A52480Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article
A53101Billing and Coding: MolDX: bioTheranostics Cancer TYPE ID® Update
A54188Billing and Coding: MolDX: bioTheranostics Cancer TYPE ID®
A54386Billing and Coding: MolDX: bioTheranostics Cancer TYPE ID® Update

How D48.4 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 D48.4.

Mesothelioma›cystic

Related codes at this level

Codes that share D48. If D48.4 is not quite right, the correct code is usually one of these.

Questions about D48.4

Is D48.4 a billable ICD-10-CM code?: Yes. D48.4 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does D48.4 sit in the tabular list?: Neoplasms (C00-D49), in the block Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes (D37-D48).