D38.4 — Neoplasm of uncertain behavior of thymus
Is D38.4 billable?
Yes — D38.4 is billable for FY2027. D38.4 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. D38.4 may be submitted for encounters from October 1, 2026 through September 30, 2027.
D38.4 at a glance
| Code | D38.4 |
|---|---|
| Description | Neoplasm of uncertain behavior of thymus |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does D38.4 group to?
D38.4 sits in MDC 04 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.
- 180Respiratory Neoplasms with MCCmedical
- 181Respiratory Neoplasms with CCmedical
- 182Respiratory Neoplasms without CC/MCCmedical
Excludes1 — never code together — inherited from D37-D48
The conditions below can never be reported together with D38.4 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 D38
The conditions below can never be reported together with D38.4 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- neoplasm of uncertain behavior of heart (D48.7)
How long has D38.4 existed?
D38.4 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.
Which codes are confused with D38.4?
ICD-10-CM declares these codes mutually exclusive with D38.4 — exactly one of each pair can be correct for a given encounter.
What other codes are in the D38 family? (6)
- D38.0Neoplasm of uncertain behavior of larynx
- D38.1Neoplasm of uncertain behavior of trachea, bronchus and lung
- D38.2Neoplasm of uncertain behavior of pleura
- D38.3Neoplasm of uncertain behavior of mediastinum
- D38.5Neoplasm of uncertain behavior of other respiratory organs
- D38.6Neoplasm of uncertain behavior of respiratory organ, unspecified