ICDcodes.org
FY2027

D48.5 — Neoplasm of uncertain behavior of skin

Billable

Is D48.5 billable?

Yes — D48.5 is billable for FY2027. D48.5 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. D48.5 may be submitted for encounters from October 1, 2026 through September 30, 2027.

D48.5 at a glance

CodeD48.5
DescriptionNeoplasm of uncertain behavior of skin
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Which MS-DRGs does D48.5 group to?

D48.5 sits in MDC 09 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 606Minor Skin Disorders with MCCmedical
  • 607Minor Skin Disorders without MCCmedical

How is D48.5 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to D48.5. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Nevus › bathing trunk
  • Tumor › basal cell
  • Nevus › pigmented › giant

Excludes1 — never code together

The conditions below can never be reported together with D48.5 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 anus NOS (D37.8)
  • neoplasm of uncertain behavior of skin of genital organs (D39.8, D40.8)
  • neoplasm of uncertain behavior of vermilion border of lip (D37.0)

Inclusion terms

Alternative wording in documentation that is classified to D48.5.

  • Neoplasm of uncertain behavior of anal margin
  • Neoplasm of uncertain behavior of anal skin
  • Neoplasm of uncertain behavior of perianal skin
  • Neoplasm of uncertain behavior of skin of breast

Excludes1 — never code together — inherited from D37-D48

The conditions below can never be reported together with D48.5 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 D48.5 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-)

How long has D48.5 existed?

D48.5 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 D48.5?

ICD-10-CM declares these codes mutually exclusive with D48.5 — exactly one of each pair can be correct for a given encounter.

Which conditions are coded to D48.5?

What other codes are in the D48 family? (8)