D49.7 — Neoplasm of unspecified behavior of endocrine glands and other parts of nervous system
Is D49.7 billable?
Yes, but D49.7 is an unspecified code. D49.7 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, D49.7 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 D49.7 — the more specific alternatives are listed below.
More specific alternatives
- D49.0Neoplasm of unspecified behavior of digestive system
- D49.1Neoplasm of unspecified behavior of respiratory system
- D49.2Neoplasm of unspecified behavior of bone, soft tissue, and skin
- D49.3Neoplasm of unspecified behavior of breast
- D49.4Neoplasm of unspecified behavior of bladder
- D49.5Neoplasm of unspecified behavior of other genitourinary organsnot billable
- D49.6Neoplasm of unspecified behavior of brain
- D49.8Neoplasm of unspecified behavior of other specified sitesnot billable
- D49.9Neoplasm of unspecified behavior of unspecified site
D49.7 at a glance
| Code | D49.7 |
|---|---|
| Description | Neoplasm of unspecified behavior of endocrine glands and other parts of nervous system |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does D49.7 group to?
D49.7 sits in MDC 10 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.
- 643Endocrine Disorders with MCCmedical
- 644Endocrine Disorders with CCmedical
- 645Endocrine Disorders without CC/MCCmedical
Excludes1 — never code together
The conditions below can never be reported together with D49.7 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- neoplasm of unspecified behavior of peripheral, sympathetic, and parasympathetic nerves and ganglia (D49.2)
Excludes2 — not included here — inherited from D49
The conditions below are not part of D49.7, but a patient may have both at the same time. When documentation supports it, D49.7 and the excluded code may both be reported.
How long has D49.7 existed?
D49.7 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 D49.7?
ICD-10-CM declares these codes mutually exclusive with D49.7 — exactly one of each pair can be correct for a given encounter.
What other codes are in the D49 family? (9)
- D49.0Neoplasm of unspecified behavior of digestive system
- D49.1Neoplasm of unspecified behavior of respiratory system
- D49.2Neoplasm of unspecified behavior of bone, soft tissue, and skin
- D49.3Neoplasm of unspecified behavior of breast
- D49.4Neoplasm of unspecified behavior of bladder
- D49.5Neoplasm of unspecified behavior of other genitourinary organsnot billable
- D49.6Neoplasm of unspecified behavior of brain
- D49.8Neoplasm of unspecified behavior of other specified sitesnot billable
- D49.9Neoplasm of unspecified behavior of unspecified site