D48.62
D48.62 — Neoplasm of uncertain behavior of left breast
Billable / specific codeICD-10-CMleft
D48.62 is a billable, specific ICD-10-CM code for neoplasm of uncertain behavior of left breast. It is valid for submission on a claim.
Risk adjustment
D48.62 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
D48.62 is named in 26 Medicare coverage policies — 26 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
- A52849Billing and Coding: Breast Imaging: Breast Echography (Sonography)/Breast MRI/Ductography
- A53101Billing and Coding: MolDX: bioTheranostics Cancer TYPE ID® Update
- A54188Billing and Coding: MolDX: bioTheranostics Cancer TYPE ID®
Related codes at this level
Codes that share D48.6. If D48.62 is not quite right, the correct code is usually one of these.
Questions about D48.62
- Is D48.62 a billable ICD-10-CM code?
- Yes. D48.62 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D48.62 sit in the tabular list?
- Neoplasms (C00-D49), in the block Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes (D37-D48).