D48.19 — Other specified neoplasm of uncertain behavior of connective and other soft tissue
Is D48.19 billable?
Yes, but D48.19 is an unspecified code. D48.19 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, D48.19 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting D48.19 — the more specific alternatives are listed below.
More specific alternatives
D48.19 at a glance
| Code | D48.19 |
|---|---|
| Description | Other specified neoplasm of uncertain behavior of connective and other soft tissue |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does D48.19 group to?
D48.19 sits in MDC 08 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.
- 564Other Musculoskeletal System and Connective Tissue Diagnoses with MCCmedical
- 565Other Musculoskeletal System and Connective Tissue Diagnoses with CCmedical
- 566Other Musculoskeletal System and Connective Tissue Diagnoses without CC/MCCmedical
How is D48.19 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to D48.19. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Myofibromatosis
- Tumor › stromal › gastric
- Tumor › stromal › gastric › uncertain behavior
- Tumor › stromal › gastrointestinal › uncertain behavior
- Tumor › stromal › intestine › uncertain behavior
- Tumor › stromal › stomach › uncertain behavior
Excludes1 — never code together — inherited from D37-D48
The conditions below can never be reported together with D48.19 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 D48
The conditions below can never be reported together with D48.19 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- neurofibromatosis (nonmalignant) (Q85.0-)
Excludes1 — never code together — inherited from D48.1
The conditions below can never be reported together with D48.19 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 D48.19 existed?
D48.19 first appears in FY2024.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.