Is D49.2 a billable ICD-10-CM code?

Yes. D49.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does D49.2 sit in the tabular list?

Neoplasms (C00-D49), in the block Neoplasms of unspecified behavior (D49).

What cannot be coded together with D49.2?

D49.2 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

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.

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)

Other codes that can never be billed with D49.2

These codes carry an Excludes1 note pointing at D49.2. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading D49.2 alone.

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

Risk adjustment

D49.2 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.

Medicare coverage

D49.2 is named in 35 Medicare coverage policies — 35 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

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

How D49.2 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to D49.2.

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

Related codes at this level

Codes that share D49. If D49.2 is not quite right, the correct code is usually one of these.

Questions about D49.2

Is D49.2 a billable ICD-10-CM code?: Yes. D49.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does D49.2 sit in the tabular list?: Neoplasms (C00-D49), in the block Neoplasms of unspecified behavior (D49).
What cannot be coded together with D49.2?: D49.2 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.