ICD-10 Diagnosis Code D38.5

Neoplasm of uncertain behavior of other respiratory organs

Diagnosis Code D38.5

ICD-10: D38.5
Short Description: Neoplasm of uncertain behavior of other respiratory organs
Long Description: Neoplasm of uncertain behavior of other respiratory organs
This is the 2019 version of the ICD-10-CM diagnosis code D38.5

Valid for Submission
The code D38.5 is valid for submission for HIPAA-covered transactions.

Code Classification
  • Neoplasms (C00–D48)
    • Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes (D37-D48)
      • Neoplm of uncrt behav of mid ear & resp and intrathorac org (D38)
Version 2019 Billable Code Neoplasm Uncertain Behavior

Information for Medical Professionals

Diagnostic Related Groups
The diagnosis code D38.5 is grouped in the following Diagnostic Related Group(s) (MS-DRG V35.0)

  • 180 - RESPIRATORY NEOPLASMS WITH MCC
  • 181 - RESPIRATORY NEOPLASMS WITH CC
  • 182 - RESPIRATORY NEOPLASMS WITHOUT CC/MCC

Convert to ICD-9
  • 235.9 - Unc behav neo resp NEC (Approximate Flag)

Synonyms
  • Mass of petrous part of temporal bone
  • Neoplasm of cartilage of nose
  • Neoplasm of mastoid air cells
  • Neoplasm of nasal vestibule
  • Neoplasm of uncertain behavior of accessory sinus
  • Neoplasm of uncertain behavior of cartilage of nose
  • Neoplasm of uncertain behavior of ethmoidal sinus
  • Neoplasm of uncertain behavior of eustachian tube
  • Neoplasm of uncertain behavior of frontal sinus
  • Neoplasm of uncertain behavior of mastoid air cells
  • Neoplasm of uncertain behavior of maxillary sinus
  • Neoplasm of uncertain behavior of middle ear
  • Neoplasm of uncertain behavior of nasal cavity
  • Neoplasm of uncertain behavior of nasal concha
  • Neoplasm of uncertain behavior of nose
  • Neoplasm of uncertain behavior of nose
  • Neoplasm of uncertain behavior of nose
  • Neoplasm of uncertain behavior of septum of nose
  • Neoplasm of uncertain behavior of sphenoidal sinus
  • Neoplasm of uncertain behavior of temporal bone
  • Neoplasm of uncertain behavior of temporal bone
  • Neoplasm of uncertain behavior of tympanic antrum
  • Neoplasm of uncertain behavior of tympanic cavity
  • Neoplasm of uncertain behavior of upper respiratory tract
  • Neoplasm of uncertain behavior of vestibule of nose
  • Tumor of Eustachian tube
  • Tumor of tympanic cavity

Tabular List of Diseases and Injuries
References found for the code D38.5 in the Tabular List of Diseases and Injuries:

  • Inclusion Terms:
    • Neoplasm of uncertain behavior of accessory sinuses
    • Neoplasm of uncertain behavior of cartilage of nose
    • Neoplasm of uncertain behavior of middle ear
    • Neoplasm of uncertain behavior of nasal cavities
  • Type 1 Excludes Notes:
    • neoplasm of uncertain behavior of ear (external) (skin) (D48.5)
    • neoplasm of uncertain behavior of nose NOS (D48.7)
    • neoplasm of uncertain behavior of skin of nose (D48.5)

Table of Neoplasms

The code D38.5 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
»antrum (Highmore) (maxillary)
C31.0C78.39D02.3D14.0D38.5D49.1
»antrum (Highmore) (maxillary)
  »tympanicum
C30.1C78.39D02.3D14.0D38.5D49.1
»auditory
  »canal (external) (skin)
    »internal
C30.1C78.39D02.3D14.0D38.5D49.1
»auditory
  »tube
C30.1C78.39D02.3D14.0D38.5D49.1
»auricular canal (external) [See Also: Neoplasm, skin, ear]
  »internal
C30.1C78.39D02.3D14.0D38.5D49.2
»cartilage (articular) (joint) NEC [See Also: Neoplasm, bone]
  »nose, nasal
C30.0C78.39D02.3D14.0D38.5D49.1
»cavity
  »nasal
C30.0C78.39D02.3D14.0D38.5D49.1
»cavity
  »tympanic
C30.1C78.39D02.3D14.0D38.5D49.1
»concha [See Also: Neoplasm, skin, ear]
  »nose
C30.0C78.39D02.3D14.0D38.5D49.1
»ear (external) [See Also: Neoplasm, skin, ear]
  »inner
C30.1C78.39D02.3D14.0D38.5D49.1
»ear (external) [See Also: Neoplasm, skin, ear]
  »middle
C30.1C78.39D02.3D14.0D38.5D49.1
»ethmoid (sinus)
C31.1C78.39D02.3D14.0D38.5D49.1
»eustachian tube
C30.1C78.39D02.3D14.0D38.5D49.1
»frontal
  »sinus
C31.2C78.39D02.3D14.0D38.5D49.1
»mastoid (air cells) (antrum) (cavity)
C30.1C78.39D02.3D14.0D38.5D49.1
»maxilla, maxillary (superior)
  »antrum
C31.0C78.39D02.3D14.0D38.5D49.1
»maxilla, maxillary (superior)
  »sinus
C31.0C78.39D02.3D14.0D38.5D49.1
»mucosa
  »nasal
C30.0C78.39D02.3D14.0D38.5D49.1
»nares, naris (anterior) (posterior)
C30.0C78.39D02.3D14.0D38.5D49.1
»nose, nasal
  »cartilage
C30.0C78.39D02.3D14.0D38.5D49.1
»nose, nasal
  »cavity
C30.0C78.39D02.3D14.0D38.5D49.1
»nose, nasal
  »fossa
C30.0C78.39D02.3D14.0D38.5D49.1
»nose, nasal
  »internal
C30.0C78.39D02.3D14.0D38.5D49.1
»nose, nasal
  »mucosa
C30.0C78.39D02.3D14.0D38.5D49.1
»nose, nasal
  »septum
C30.0C78.39D02.3D14.0D38.5D49.1
»nose, nasal
  »turbinate (mucosa)
C30.0C78.39D02.3D14.0D38.5D49.1
»nose, nasal
  »vestibule
C30.0C78.39D02.3D14.0D38.5D49.1
»nostril
C30.0C78.39D02.3D14.0D38.5D49.1
»respiratory
  »tract NEC
C39.9C78.30D02.4D14.4D38.5D49.1
»respiratory
  »tract NEC
    »upper
C39.0C78.30D02.4D14.4D38.5D49.1
»septum
C30.0C78.39D02.3D14.0D38.5D49.1
»septum
  »nasal
C30.0C78.39D02.3D14.0D38.5D49.1
»sinus (accessory)
C31.9C78.39D02.3D14.0D38.5D49.1
»sinus (accessory)
  »ethmoidal
C31.1C78.39D02.3D14.0D38.5D49.1
»sinus (accessory)
  »frontal
C31.2C78.39D02.3D14.0D38.5D49.1
»sinus (accessory)
  »maxillary
C31.0C78.39D02.3D14.0D38.5D49.1
»sinus (accessory)
  »nasal, paranasal NEC
C31.9C78.39D02.3D14.0D38.5D49.1
»sinus (accessory)
  »sphenoid
C31.3C78.39D02.3D14.0D38.5D49.1
»sphenoid
C31.3C78.39D02.3D14.0D38.5D49.1
»sphenoid
  »sinus
C31.3C78.39D02.3D14.0D38.5D49.1
»turbinate (bone)
  »nasal
C30.0C78.39D02.3D14.0D38.5D49.1
»tympanic cavity
C30.1C78.39D02.3D14.0D38.5D49.1
»vestibule
  »nose
C30.0C78.39D02.3D14.0D38.5D49.1

Information for Patients


Lung Diseases

When you breathe, your lungs take in oxygen from the air and deliver it to the bloodstream. The cells in your body need oxygen to work and grow. During a normal day, you breathe nearly 25,000 times. People with lung disease have difficulty breathing. Millions of people in the U.S. have lung disease. If all types of lung disease are lumped together, it is the number three killer in the United States.

The term lung disease refers to many disorders affecting the lungs, such as asthma, COPD, infections like influenza, pneumonia and tuberculosis, lung cancer, and many other breathing problems. Some lung diseases can lead to respiratory failure.

Dept. of Health and Human Services Office on Women's Health

  • Alveolar abnormalities (Medical Encyclopedia)
  • Blood gases (Medical Encyclopedia)
  • Breath sounds (Medical Encyclopedia)
  • Chemical pneumonitis (Medical Encyclopedia)
  • Chest tube insertion (Medical Encyclopedia)
  • Coughing up blood (Medical Encyclopedia)
  • Lung disease (Medical Encyclopedia)
  • Lung PET scan (Medical Encyclopedia)
  • Pulmonary edema (Medical Encyclopedia)
  • Pulmonary function tests (Medical Encyclopedia)
  • Solitary pulmonary nodule (Medical Encyclopedia)

[Read 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.

Present on Admission
The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.

Previous Code
D38.4
Next Code
D38.6