D48.7 — Neoplasm of uncertain behavior of other specified sites
Is D48.7 billable?
Yes, but D48.7 is an unspecified code. D48.7 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, D48.7 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 D48.7 — the more specific alternatives are listed below.
More specific alternatives
- D48.0Neoplasm of uncertain behavior of bone and articular cartilage
- D48.1Neoplasm of uncertain behavior of connective and other soft tissuenot billable
- D48.2Neoplasm of uncertain behavior of peripheral nerves and autonomic nervous system
- D48.3Neoplasm of uncertain behavior of retroperitoneum
- D48.4Neoplasm of uncertain behavior of peritoneum
- D48.5Neoplasm of uncertain behavior of skin
- D48.6Neoplasm of uncertain behavior of breastnot billable
D48.7 at a glance
| Code | D48.7 |
|---|---|
| Description | Neoplasm of uncertain behavior of other specified sites |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does D48.7 group to?
D48.7 sits in MDC 17 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.
- 826Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCCsurgical
- 827Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with CCsurgical
- 828Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures without CC/MCCsurgical
Excludes1 — never code together
The conditions below can never be reported together with D48.7 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Inclusion terms
Alternative wording in documentation that is classified to D48.7.
- Neoplasm of uncertain behavior of eye
- Neoplasm of uncertain behavior of heart
- Neoplasm of uncertain behavior of peripheral nerves of orbit
Excludes1 — never code together — inherited from D37-D48
The conditions below can never be reported together with D48.7 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 D48.7 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 D48.7 existed?
D48.7 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 D48.7?
ICD-10-CM declares these codes mutually exclusive with D48.7 — exactly one of each pair can be correct for a given encounter.
What other codes are in the D48 family? (8)
- D48.0Neoplasm of uncertain behavior of bone and articular cartilage
- D48.1Neoplasm of uncertain behavior of connective and other soft tissuenot billable
- D48.2Neoplasm of uncertain behavior of peripheral nerves and autonomic nervous system
- D48.3Neoplasm of uncertain behavior of retroperitoneum
- D48.4Neoplasm of uncertain behavior of peritoneum
- D48.5Neoplasm of uncertain behavior of skin
- D48.6Neoplasm of uncertain behavior of breastnot billable
- D48.9Neoplasm of uncertain behavior, unspecified