ICD-10-CM Code D38.5

Neoplasm of uncertain behavior of other respiratory organs

Version 2020 Billable Code Neoplasm Uncertain Behavior

Valid for Submission

D38.5 is a billable code used to specify a medical diagnosis of neoplasm of uncertain behavior of other respiratory organs. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code D38.5 might also be used to specify conditions or terms like 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, etc

The following anatomical sites found in the Table of Neoplasms apply to this code given the correct histological behavior: antrum (Highmore) (maxillary) ; antrum (Highmore) (maxillary) tympanicum ; auditory canal (external) (skin) internal ; auditory tube ; auricular canal (external) [See Also: Neoplasm, skin, ear] internal ; cartilage (articular) (joint) NEC [See Also: Neoplasm, bone] nose, nasal ; cavity nasal ; etc

ICD-10:D38.5
Short Description:Neoplasm of uncertain behavior of other respiratory organs
Long Description:Neoplasm of uncertain behavior of other respiratory organs

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 D38.5:

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 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

Type 1 Excludes
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.
  • 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

Synonyms

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

  • 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 ear
  • 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 middle ear and mastoid
  • Tumor of tympanic antrum
  • Tumor of tympanic cavity

Diagnostic Related Groups

The ICD-10 code D38.5 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 10/01/2019 through 09/30/2020.

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

Convert D38.5 to ICD-9

  • 235.9 - Unc behav neo resp NEC (Approximate Flag)

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)

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 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.

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


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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.

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