MCMedicalCodingSoftware
D48.9

D48.9: Neoplasm of uncertain behavior, unspecified

Billable / specific codeICD-10-CM

D48.9 is a billable, specific ICD-10-CM code for neoplasm of uncertain behavior, unspecified. It is valid for submission on a claim.

Check D48.9 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above D48.9

A category’s note binds every code beneath it.

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

D48.9 is named in 6 Medicare coverage policies: 6 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A52479Oral Anticancer Drugs - Policy Article
  • A56462Billing and Coding: Erythropoiesis Stimulating Agents (ESA)
  • A56505Billing and Coding: Transesophageal Echocardiography (TEE)
  • A57452Billing and Coding: Peripheral Nerve Blocks

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under D48

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.