D37.05 — Neoplasm of uncertain behavior of pharynx
Is D37.05 billable?
Yes — D37.05 is billable for FY2027. D37.05 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. D37.05 may be submitted for encounters from October 1, 2026 through September 30, 2027.
D37.05 at a glance
| Code | D37.05 |
|---|---|
| Description | Neoplasm of uncertain behavior of pharynx |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does D37.05 group to?
D37.05 sits in MDC Pre and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 011Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with MCCsurgical
- 012Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with CCsurgical
- 013Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy without CC/MCCsurgical
Inclusion terms
Alternative wording in documentation that is classified to D37.05.
- Neoplasm of uncertain behavior of aryepiglottic fold of pharynx NOS
- Neoplasm of uncertain behavior of hypopharyngeal aspect of aryepiglottic fold of pharynx
- Neoplasm of uncertain behavior of marginal zone of aryepiglottic fold of pharynx
Excludes1 — never code together — inherited from D37-D48
The conditions below can never be reported together with D37.05 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- neoplasms of unspecified behavior (D49.-)
Excludes1 — never code together — inherited from D37
The conditions below can never be reported together with D37.05 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- stromal tumors of uncertain behavior of digestive system (D48.1-)
Excludes1 — never code together — inherited from D37.0
The conditions below can never be reported together with D37.05 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
How long has D37.05 existed?
D37.05 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
What other codes are in the D37.0 family? (5)
- D37.01Neoplasm of uncertain behavior of lip
- D37.02Neoplasm of uncertain behavior of tongue
- D37.03Neoplasm of uncertain behavior of the major salivary glandsnot billable
- D37.04Neoplasm of uncertain behavior of the minor salivary glands
- D37.09Neoplasm of uncertain behavior of other specified sites of the oral cavity