D37
D37 — Neoplasm of uncertain behavior of oral cavity and digestive organs
Non-billable headerICD-10-CM
D37 is a non-billable header ICD-10-CM code for neoplasm of uncertain behavior of oral cavity and digestive organs. 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.
- stromal tumors of uncertain behavior of digestive system (D48.1-)
Other codes that can never be billed with D37
These codes carry an Excludes1 note pointing at D37. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading D37 alone.
Risk adjustment
D37 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 D37
9 child codes. Green means billable.
- D37.0Neoplasm of uncertain behavior of lip, oral cavity and pharynx
- D37.1Neoplasm of uncertain behavior of stomach
- D37.2Neoplasm of uncertain behavior of small intestine
- D37.3Neoplasm of uncertain behavior of appendix
- D37.4Neoplasm of uncertain behavior of colon
- D37.5Neoplasm of uncertain behavior of rectum
- D37.6Neoplasm of uncertain behavior of liver, gallbladder and bile ducts
- D37.8Neoplasm of uncertain behavior of other specified digestive organs
- D37.9Neoplasm of uncertain behavior of digestive organ, unspecified
Questions about D37
- Is D37 a billable ICD-10-CM code?
- No. D37 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does D37 sit in the tabular list?
- Neoplasms (C00-D49), in the block Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes (D37-D48).
- What cannot be coded together with D37?
- D37 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.