ICD-10-CM Code D37.6

Neoplasm of uncertain behavior of liver, gallbladder and bile ducts

Version 2020 Billable Code Neoplasm Uncertain Behavior

Valid for Submission

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 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code D37.6 might also be used to specify conditions or terms like 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 bile duct, etc

The following anatomical sites found in the Table of Neoplasms apply to this code given the correct histological behavior: ampulla of Vater ; bile or biliary (tract) ; bile or biliary (tract) canaliculi (biliferi) (intrahepatic) ; bile or biliary (tract) canals, interlobular ; bile or biliary (tract) duct or passage (common) (cystic) (extrahepatic) ; bile or biliary (tract) duct or passage (common) (cystic) (extrahepatic) interlobular ; bile or biliary (tract) duct or passage (common) (cystic) (extrahepatic) intrahepatic ; etc

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

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 are applicable to the code D37.6:

Inclusion Terms

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

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • 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 bile duct
  • 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 pancreatic duct
  • Neoplasm of uncertain behavior of small intestine
  • Neoplasm of uncertain behavior of sphincter of Oddi
  • Papillary tumor of ampulla of Vater

Diagnostic Related Groups

The ICD-10 code D37.6 is grouped in the following groups for version MS-DRG V37.0 What are 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).
applicable from 10/01/2020 through 09/30/2020.

  • 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

  • 235.3 - Unc behav neo liver

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)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

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.

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


[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.


[Learn More]

Liver Diseases

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.


[Learn More]