2024 ICD-10-CM Diagnosis Code D43.1
Neoplasm of uncertain behavior of brain, infratentorial
- ICD-10-CM Code:
- D43.1
- ICD-10 Code for:
- Neoplasm of uncertain behavior of brain, infratentorial
- Is Billable?
- Yes - Valid for Submission
- Chronic Condition Indicator: [1]
- Chronic
- Code Navigator:
D43.1 is a billable diagnosis code used to specify a medical diagnosis of neoplasm of uncertain behavior of brain, infratentorial. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.
The following anatomical sites found in the Table of Neoplasms reference this diagnosis code given the correct histological behavior: Neoplasm, neoplastic basis pedunculi ; Neoplasm, neoplastic brain NEC cerebellopontine angle ; Neoplasm, neoplastic brain NEC cerebellum NOS ; Neoplasm, neoplastic brain NEC choroid plexus ; Neoplasm, neoplastic brain NEC medulla oblongata ; Neoplasm, neoplastic brain NEC midbrain ; Neoplasm, neoplastic brain NEC peduncle ; etc
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Cerebellar liponeurocytoma
- Low grade glioma of cerebellum
- Neoplasm of uncertain behavior of brain stem
- Neoplasm of uncertain behavior of cerebellum
- Neoplasm of uncertain or unknown behavior of brain, infratentorial
- Pilocytic astrocytoma
- Pilocytic astrocytoma of cerebellum
Clinical Classification
Clinical Category is Neoplasms of unspecified nature or uncertain behavior
- CCSR Category Code: NEO072
- Inpatient Default CCSR: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.
- Outpatient Default CCSR: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
Tabular List of Diseases and Injuries
The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.
Inclusion Terms
Inclusion TermsThese 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 brain stem
- Neoplasm of uncertain behavior of cerebellum
- Neoplasm of uncertain behavior of fourth ventricle
Convert D43.1 to ICD-9-CM
- ICD-9-CM Code: 237.5 - Unc beh neo brain/spinal
Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.
Table of Neoplasms
This code is referenced 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 |
|---|---|---|---|---|---|---|
| »Neoplasm, neoplastic »basis pedunculi | C71.7 | C79.31 | D33.1 | D43.1 | D49.6 | |
| »Neoplasm, neoplastic »brain NEC »cerebellopontine angle | C71.6 | C79.31 | D33.1 | D43.1 | D49.6 | |
| »Neoplasm, neoplastic »brain NEC »cerebellum NOS | C71.6 | C79.31 | D33.1 | D43.1 | D49.6 | |
| »Neoplasm, neoplastic »brain NEC »choroid plexus | C71.7 | C79.31 | D33.1 | D43.1 | D49.6 | |
| »Neoplasm, neoplastic »brain NEC »medulla oblongata | C71.7 | C79.31 | D33.1 | D43.1 | D49.6 | |
| »Neoplasm, neoplastic »brain NEC »midbrain | C71.7 | C79.31 | D33.1 | D43.1 | D49.6 | |
| »Neoplasm, neoplastic »brain NEC »peduncle | C71.7 | C79.31 | D33.1 | D43.1 | D49.6 | |
| »Neoplasm, neoplastic »brain NEC »pons | C71.7 | C79.31 | D33.1 | D43.1 | D49.6 | |
| »Neoplasm, neoplastic »brain NEC »stem | C71.7 | C79.31 | D33.1 | D43.1 | D49.6 | |
| »Neoplasm, neoplastic »brain NEC »ventricle (floor) »fourth | C71.7 | C79.31 | D33.1 | D43.1 | D49.6 | |
| »Neoplasm, neoplastic »cerebellopontine (angle) | C71.6 | C79.31 | D33.1 | D43.1 | D49.6 | |
| »Neoplasm, neoplastic »cerebellum, cerebellar | C71.6 | C79.31 | D33.1 | D43.1 | D49.6 | |
| »Neoplasm, neoplastic »cerebrum, cerebra (cortex) (hemisphere) (white matter) »peduncle | C71.7 | C79.31 | D33.1 | D43.1 | D49.6 | |
| »Neoplasm, neoplastic »cerebrum, cerebra (cortex) (hemisphere) (white matter) »ventricle »fourth | C71.7 | C79.31 | D33.1 | D43.1 | D49.6 | |
| »Neoplasm, neoplastic »ependyma (brain) »fourth ventricle | C71.7 | C79.31 | D33.1 | D43.1 | D49.6 | |
| »Neoplasm, neoplastic »medulla »oblongata | C71.7 | C79.31 | D33.1 | D43.1 | D49.6 | |
| »Neoplasm, neoplastic »midbrain | C71.7 | C79.31 | D33.1 | D43.1 | D49.6 | |
| »Neoplasm, neoplastic »olive (brain) | C71.7 | C79.31 | D33.1 | D43.1 | D49.6 | |
| »Neoplasm, neoplastic »peduncle, cerebral | C71.7 | C79.31 | D33.1 | D43.1 | D49.6 | |
| »Neoplasm, neoplastic »pons (varolii) | C71.7 | C79.31 | D33.1 | D43.1 | D49.6 | |
| »Neoplasm, neoplastic »pyramid (brain) | C71.7 | C79.31 | D33.1 | D43.1 | D49.6 | |
| »Neoplasm, neoplastic »spine, spinal (column) »bulb | C71.7 | C79.31 | D33.1 | D43.1 | D49.6 | |
| »Neoplasm, neoplastic »stem, brain | C71.7 | C79.31 | D33.1 | D43.1 | D49.6 | |
| »Neoplasm, neoplastic »ventricle (cerebral) (floor) (lateral) (third) »fourth | C71.7 | C79.31 | D33.1 | D43.1 | D49.6 | |
| »Neoplasm, neoplastic »vermis, cerebellum | C71.6 | C79.31 | D33.1 | D43.1 | D49.6 |
Patient Education
Brain Diseases
Your brain is the control center of your body. It controls your thoughts, memory, speech, and movement. It regulates the function of many organs. It's part of your nervous system, which also includes your spinal cord and peripheral nerves. The nervous system sends signals between your brain and the rest of the body. Your nerves take in information from your senses and send it to the brain to be processed. Your brain and nerves also communicate to help you move and to control your body's functions.
When the brain is healthy, it works quickly and automatically. But when you have a brain disease, it may affect how well you can function and do your daily activities. Some common brain diseases include:
- Brain tumors, which can press on nerves and affect brain function.
- Degenerative nerve diseases, which can affect many of your body's activities, such as balance, movement, talking, breathing, and heart function. Types include Alzheimer's disease and Parkinson's disease.
- Encephalitis (inflammation in the brain), which can lead to problems such as vision loss, weakness, and paralysis.
- Genetic brain disorders, which are caused by changes in genes (also called variants or mutations). These disorders can affect the development and function of the brain.
- Strokes, which can cause a loss of brain cells and can affect your ability to think clearly.
- Traumatic brain injuries (TBIs), which can affect brain function. They may range from mild to severe. The effects of a TBI may be temporary or permanent.
The symptoms of brain diseases vary widely, depending on the specific problem. In some cases, damage is permanent. In other cases, treatments such as surgery, medicines, or therapies such as physical, occupational, and speech therapies, may cure the disease or improve the symptoms.
[Learn More in MedlinePlus]
Code History
- FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
- FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
- FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.
Footnotes
[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:
- The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
- The condition places limitations on self-care, independent living, and social interactions.