ICD-10 Code D37.6

Neoplasm of uncertain behavior of liver, gallbladder and bile ducts

Version 2019 Billable Code Neoplasm Uncertain Behavior
ICD-10: D37.6
Short Description:Neoplasm of uncertain behavior of liver, GB & bile duct
Long Description:Neoplasm of uncertain behavior of liver, gallbladder and bile ducts

Valid for Submission

ICD-10 D37.6 is a billable code used to specify a medical diagnosis of neoplasm of uncertain behavior of liver, gallbladder and bile ducts. The code is valid for the year 2019 for the submission of HIPAA-covered transactions.

Code Classification

  • Neoplasms (C00–D48)
    • Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes (D37-D48)
      • Neoplasm of uncrt behavior of oral cavity and dgstv organs (D37)

Information for Medical Professionals

Diagnostic Related Groups

The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). The diagnosis code D37.6 is grouped in the following groups for version MS-DRG V36.0 applicable from 10/01/2018 through 09/30/2019.

  • 435 - MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC
  • 436 - MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC
  • 437 - MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC

Convert D37.6 to ICD-9

The following crosswalk between ICD-10 to ICD-9 is based based on the General Equivalence Mappings (GEMS) information:

  • 235.3 - Unc behav neo liver

Synonyms

The following clinical terms are approximate synonyms:

  • Carcinoid tumor of ampulla of Vater
  • Hemangioendothelioma of abdomen
  • Hemangioendothelioma of liver
  • Neoplasm of cystic duct
  • Neoplasm of uncertain behavior of ampulla of Vater
  • Neoplasm of uncertain behavior of biliary system
  • Neoplasm of uncertain behavior of common bile duct
  • Neoplasm of uncertain behavior of cystic duct
  • Neoplasm of uncertain behavior of duodenum
  • Neoplasm of uncertain behavior of extrahepatic bile ducts
  • Neoplasm of uncertain behavior of gallbladder
  • Neoplasm of uncertain behavior of hepatic duct
  • Neoplasm of uncertain behavior of intrahepatic bile ducts
  • Neoplasm of uncertain behavior of liver
  • Neoplasm of uncertain behavior of liver and/or biliary passages
  • Neoplasm of uncertain behavior of pancreas
  • Neoplasm of uncertain behavior of pancreatic duct
  • Neoplasm of uncertain behavior of small intestine
  • Neoplasm of uncertain behavior of sphincter of Oddi
  • Papillary tumor of ampulla of Vater

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references for the code D37.6 are found in the tabular index:

  • Inclusion Terms:
    • Neoplasm of uncertain behavior of ampulla of Vater

Table of Neoplasms

The code D37.6 is included in the table of neoplasms by anatomical site. For each site there are six possible code numbers according to whether the neoplasm in question is malignant, benign, in situ, of uncertain behavior, or of unspecified nature. The description of the neoplasm will often indicate which of the six columns is appropriate.

Where such descriptors are not present, the remainder of the Index should be consulted where guidance is given to the appropriate column for each morphological (histological) variety listed. However, the guidance in the Index can be overridden if one of the descriptors mentioned above is present.

The Tabular must be reviewed for the complete diagnosis code.

Neoplasm, neoplastic Malignant
Primary
Malignant
Secondary
CaInSitu Benign Uncertain
Behavior
Unspecified
Behavior
»ampulla of Vater
C24.1C78.89D01.5D13.5D37.6D49.0
»bile or biliary (tract)
C24.9C78.89D01.5D13.5D37.6D49.0
»bile or biliary (tract)
  »canaliculi (biliferi) (intrahepatic)
C22.1C78.7D01.5D13.4D37.6D49.0
»bile or biliary (tract)
  »canals, interlobular
C22.1C78.89D01.5D13.4D37.6D49.0
»bile or biliary (tract)
  »duct or passage (common) (cystic) (extrahepatic)
C24.0C78.89D01.5D13.5D37.6D49.0
»bile or biliary (tract)
  »duct or passage (common) (cystic) (extrahepatic)
    »interlobular
C22.1C78.89D01.5D13.4D37.6D49.0
»bile or biliary (tract)
  »duct or passage (common) (cystic) (extrahepatic)
    »intrahepatic
C22.1C78.7D01.5D13.4D37.6D49.0
»bile or biliary (tract)
  »duct or passage (common) (cystic) (extrahepatic)
    »intrahepatic
      »and extrahepatic
C24.8C78.89D01.5D13.5D37.6D49.0
»canaliculi, biliary (biliferi) (intrahepatic)
C22.1C78.7D01.5D13.4D37.6D49.0
»cholangiole
C22.1C78.89D01.5D13.4D37.6D49.0
»choledochal duct
C24.0C78.89D01.5D13.5D37.6D49.0
»common (bile) duct
C24.0C78.89D01.5D13.5D37.6D49.0
»cystic (bile) duct (common)
C24.0C78.89D01.5D13.5D37.6D49.0
»extrahepatic (bile) duct
C24.0C78.89D01.5D13.5D37.6D49.0
»gall duct (extrahepatic)
C24.0C78.89D01.5D13.5D37.6D49.0
»gall duct (extrahepatic)
  »intrahepatic
C22.1C78.7D01.5D13.4D37.6D49.0
»gallbladder
C23C78.89D01.5D13.5D37.6D49.0
»hepatic [See Also: Index to disease, by histology]
C22.9C78.7D01.5D13.4D37.6D49.0
»hepatic [See Also: Index to disease, by histology]
  »duct (bile)
C24.0C78.89D01.5D13.5D37.6D49.0
»hepatic [See Also: Index to disease, by histology]
  »primary
C22.8C78.7D01.5D13.4D37.6D49.0
»hepatobiliary
C24.9C78.89D01.5D13.5D37.6D49.0
»hepatoblastoma
C22.2C78.7D01.5D13.4D37.6D49.0
»hepatoma
C22.0C78.7D01.5D13.4D37.6D49.0
»intrahepatic (bile) duct
C22.1C78.7D01.5D13.4D37.6D49.0
»liver [See Also: Index to disease, by histology]
C22.9C78.7D01.5D13.4D37.6D49.0
»liver [See Also: Index to disease, by histology]
  »primary
C22.8C78.7D01.5D13.4D37.6D49.0
»sphincter
  »of Oddi
C24.0C78.89D01.5D13.5D37.6D49.0
»Vater's ampulla
C24.1C78.89D01.5D13.5D37.6D49.0

Information for Patients


Bile Duct Diseases

Your liver makes a digestive juice called bile. Your gallbladder stores it between meals. When you eat, your gallbladder pushes the bile into tubes called bile ducts. They carry the bile to your small intestine. The bile helps break down fat. It also helps the liver get rid of toxins and wastes.

Different diseases can block the bile ducts and cause a problem with the flow of bile:

  • Gallstones, which can increase pressure in the gallbladder and cause a gallbladder attack. The pain usually lasts from one to several hours.
  • Cancer
  • Infections
  • Birth defects, such as biliary atresia. It is the most common reason for liver transplants in children in the United States.
  • Inflammation, which can cause scarring. Over time, this can lead to liver failure.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases

  • ALP - blood test (Medical Encyclopedia)
  • Bile duct obstruction (Medical Encyclopedia)
  • Biliary atresia (Medical Encyclopedia)
  • Biliary stricture (Medical Encyclopedia)
  • Cholangitis (Medical Encyclopedia)
  • Cholestasis (Medical Encyclopedia)
  • ERCP (Medical Encyclopedia)
  • Gamma-glutamyl transpeptidase (GGT) blood test (Medical Encyclopedia)
  • Primary biliary cirrhosis (Medical Encyclopedia)

[Learn More]

Gallbladder Diseases

Your gallbladder is a pear-shaped organ under your liver. It stores bile, a fluid made by your liver to digest fat. As your stomach and intestines digest food, your gallbladder releases bile through a tube called the common bile duct. The duct connects your gallbladder and liver to your small intestine.

Your gallbladder is most likely to give you trouble if something blocks the flow of bile through the bile ducts. That is usually a gallstone. Gallstones form when substances in bile harden. Rarely, you can also get cancer in your gallbladder.

Many gallbladder problems get better with removal of the gallbladder. Fortunately, you can live without a gallbladder. Bile has other ways of reaching your small intestine.

  • Acute cholecystitis (Medical Encyclopedia)
  • Bilirubin - urine (Medical Encyclopedia)
  • Chronic cholecystitis (Medical Encyclopedia)
  • Gallbladder removal - laparoscopic (Medical Encyclopedia)
  • Gallbladder removal - laparoscopic - discharge (Medical Encyclopedia)
  • Gallbladder removal - open (Medical Encyclopedia)

[Learn More]

Liver Diseases

Also called: Hepatic disease

Your liver is the largest organ inside your body. It helps your body digest food, store energy, and remove poisons.

There are many kinds of liver diseases:

  • Diseases caused by viruses, such as hepatitis A, hepatitis B, and hepatitis C
  • Diseases caused by drugs, poisons, or too much alcohol. Examples include fatty liver disease and cirrhosis.
  • Liver cancer
  • Inherited diseases, such as hemochromatosis and Wilson disease

Symptoms of liver disease can vary, but they often include swelling of the abdomen and legs, bruising easily, changes in the color of your stool and urine, and jaundice, or yellowing of the skin and eyes. Sometimes there are no symptoms. Tests such as imaging tests and liver function tests can check for liver damage and help to diagnose liver diseases.

  • ALP isoenzyme test (Medical Encyclopedia)
  • Ascites (Medical Encyclopedia)
  • Diet - liver disease (Medical Encyclopedia)
  • Hepatic encephalopathy (Medical Encyclopedia)
  • Hepatomegaly (Medical Encyclopedia)
  • Liver disease (Medical Encyclopedia)
  • Liver scan (Medical Encyclopedia)

[Learn More]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.

Index of Diseases and Injuries Definitions

  • And - The word "and" should be interpreted to mean either "and" or "or" when it appears in a title.
  • Code also note - A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
  • Code first - Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
  • Type 1 Excludes Notes - A type 1 Excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • Type 2 Excludes Notes - A type 2 Excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
  • Includes Notes - This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
  • Inclusion terms - List of terms is included under some codes. These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • NEC "Not elsewhere classifiable" - This abbreviation in the Alphabetic Index represents "other specified". When a specific code is not available for a condition, the Alphabetic Index directs the coder to the "other specified” code in the Tabular List.
  • NOS "Not otherwise specified" - This abbreviation is the equivalent of unspecified.
  • See - The "see" instruction following a main term in the Alphabetic Index indicates that another term should be referenced. It is necessary to go to the main term referenced with the "see" note to locate the correct code.
  • See Also - A "see also" instruction following a main term in the Alphabetic Index instructs that there is another main term that may also be referenced that may provide additional Alphabetic Index entries that may be useful. It is not necessary to follow the "see also" note when the original main term provides the necessary code.
  • 7th Characters - Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
  • With - The word "with" should be interpreted to mean "associated with" or "due to" when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List. The word "with" in the Alphabetic Index is sequenced immediately following the main term, not in alphabetical order.