D49.5
D49.5 — Neoplasm of unspecified behavior of other genitourinary organs
Non-billable headerICD-10-CM
D49.5 is a non-billable header ICD-10-CM code for neoplasm of unspecified behavior of other genitourinary organs. It cannot be billed on its own: choose one of the more specific child codes below.
Other codes that can never be billed with D49.5
These codes carry an Excludes1 note pointing at D49.5. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading D49.5 alone.
- D49.2Neoplasm of unspecified behavior of bone, soft tissue, and skin
Risk adjustment
D49.5 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.
Code to one of these instead D49.5
2 child codes. Green means billable.
Related codes at this level
Codes that share D49. If D49.5 is not quite right, the correct code is usually one of these.
- D49.0Neoplasm of unspecified behavior of digestive system
- D49.1Neoplasm of unspecified behavior of respiratory system
- D49.2Neoplasm of unspecified behavior of bone, soft tissue, and skin
- D49.3Neoplasm of unspecified behavior of breast
- D49.4Neoplasm of unspecified behavior of bladder
- D49.6Neoplasm of unspecified behavior of brain
- D49.7Neoplasm of unspecified behavior of endocrine glands and other parts of nervous system
- D49.8Neoplasm of unspecified behavior of other specified sites
- D49.9Neoplasm of unspecified behavior of unspecified site
Questions about D49.5
- Is D49.5 a billable ICD-10-CM code?
- No. D49.5 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does D49.5 sit in the tabular list?
- Neoplasms (C00-D49), in the block Neoplasms of unspecified behavior (D49).