D49.2

D49.2: Neoplasm of unspecified behavior of bone, soft tissue, and skin

Billable / specific codeICD-10-CM

D49.2 is a billable, specific ICD-10-CM code for neoplasm of unspecified behavior of bone, soft tissue, and skin. It is valid for submission on a claim.

Check D49.2 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

neoplasm of unspecified behavior of anal canal (D49.0)
neoplasm of unspecified behavior of anus NOS (D49.0)
neoplasm of unspecified behavior of bone marrow (D49.89)
neoplasm of unspecified behavior of cartilage of larynx (D49.1)
neoplasm of unspecified behavior of cartilage of nose (D49.1)
neoplasm of unspecified behavior of connective tissue of breast (D49.3)
neoplasm of unspecified behavior of skin of genital organs (D49.59)
neoplasm of unspecified behavior of vermilion border of lip (D49.0)

Excludes2 inherited from the categories above D49.2

Not part of this code, but both may be coded when both are present.

Written on D49: Neoplasms of unspecified behavior

neoplasms of uncertain behavior (D37-D44, D48)

Other codes that can never be billed with D49.2

Their own Excludes1 notes name this code, so the conflict is not listed above.

D49.3Neoplasm of unspecified behavior of breast
D49.7Neoplasm of unspecified behavior of endocrine glands and other parts of nervous system
D49.8Neoplasm of unspecified behavior of other specified sites
D49.0Neoplasm of unspecified behavior of digestive system

Risk adjustment

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

Medicare coverage

D49.2 is named in 25 Medicare coverage policies: 25 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52370Billing and Coding: Bevacizumab and biosimilars
A52450Billing and Coding: Paclitaxel (e.g., Taxol®/Abraxane ™)
A52479Oral Anticancer Drugs - Policy Article
A52480Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article

Alphabetic index entries that lead here

Osteitis›deformans›in›neoplastic disease›carpus
Osteitis›deformans›in›neoplastic disease›clavicle
Osteitis›deformans›in›neoplastic disease›femur
Osteitis›deformans›in›neoplastic disease›fibula
Osteitis›deformans›in›neoplastic disease›finger
Osteitis›deformans›in›neoplastic disease›humerus
Osteitis›deformans›in›neoplastic disease›ilium
Osteitis›deformans›in›neoplastic disease›ischium
Osteitis›deformans›in›neoplastic disease›metacarpus
Osteitis›deformans›in›neoplastic disease›metatarsus
Osteitis›deformans›in›neoplastic disease›neck
Osteitis›deformans›in›neoplastic disease›radius

Code history

Unchanged in every release from FY2024 to FY2027.