D49.8

D49.8: Neoplasm of unspecified behavior of other specified sites

Non-billable headerICD-10-CM

D49.8 is a non-billable header ICD-10-CM code for neoplasm of unspecified behavior of other specified sites. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

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

neoplasm of unspecified behavior of eyelid (skin) (D49.2)
neoplasm of unspecified behavior of eyelid cartilage (D49.2)
neoplasm of unspecified behavior of great vessels (D49.2)
neoplasm of unspecified behavior of optic nerve (D49.7)

Excludes2 inherited from the categories above D49.8

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 D49.8

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

D49.2Neoplasm of unspecified behavior of bone, soft tissue, and skin
C69.2Malignant neoplasm of retina
D31.2Benign neoplasm of retina

Risk adjustment

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

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead D49.8

2 child codes. Green means billable.